Active NPI
Andrew George Orr, D.D.S.
- Dentist
- Jacksonville, AR
National Provider Identifier
1477757292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3610
- Practice address
- 1405 Braden Street
Jacksonville, AR 72076-3720 - Phone
- (501) 241-2345
- Fax
- (501) 985-8081
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3610 | AR | Primary |
Addresses
Primary practice location
1405 Braden Street
Jacksonville, AR 72076-3720
Mailing address
7249 Gap Ridge Dr
Sherwood, AR 72120-3688
Phone (870) 897-6141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164449608 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3610 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Dental Associates | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lonoke, AR
- NPI 1538363353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1477757292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7249 GAP RIDGE DR",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203688",
"telephone_number": "870-897-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 BRADEN STREET",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720763720",
"telephone_number": "501-241-2345",
"fax_number": "501-985-8081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "ANDREW",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164449608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.