Centerstone Family Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CENTERSTONE FAMILY DENTISTRY, PLLC

Practice address

2235 Dave Ward Dr
Suite 103
Conway, AR 72034-7039

Phone

(501) 932-0192

Fax

(501) 932-0211

NPI assigned

Sep 23, 2011

Organization subpart

Yes

Parent organization

ROBERT R. CARLISLE, D.D.S., PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Carlisle, D.D.S.

Title

Owner/ General Dentist

Phone

(501) 932-0192

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Robert R. Carlisle, D.D.S.

  • General Practice Dentistry
  • Benton, AR
  • NPI 1477755338
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1487937629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 DAVE WARD DR",
            "address_2": "SUITE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347039",
            "telephone_number": "501-932-0192",
            "fax_number": "501-932-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 DAVE WARD DR",
            "address_2": "SUITE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347039",
            "telephone_number": "501-932-0192",
            "fax_number": "501-932-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT R. CARLISLE, D.D.S., PLLC",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/ GENERAL DENTIST",
        "authorized_official_telephone_number": "501-932-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Conway, AR
• Providers in Conway, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.