Kirstan Leigh Hyser, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4663 Issued in AR

Practice address

17200 Chenal Pkwy Ste 250
Little Rock, AR 72223-5958

Phone

(501) 448-0032

Fax

(501) 448-0068

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1497447197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235958",
            "telephone_number": "501-448-0032",
            "fax_number": "501-448-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235958",
            "telephone_number": "501-448-0032",
            "fax_number": "501-448-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSER",
        "first_name": "KIRSTAN",
        "middle_name": "LEIGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Hyde, APRN
• Jourdan Hydol-Smith
• Rosalea Petillo Hyland, MS RD LD
• Hayden Nathaniel Hyman, PHARMD
• Ralph Allen Hyman, ED.D.
• I Care of Arkansas, Inc.
• I Care of Arkansas, Inc.
• Mia Anne Iandolo
• Ideal Health MD, PLLC
• Shihab Yousef Idris, MD

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.