Active NPI
Roman Sapozhnik
- Dentist
- Van Buren, AR
National Provider Identifier
1497668990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4955
- Practice address
- 1607 Main St
Van Buren, AR 72956-4735 - Phone
- (479) 474-7076
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 4955 | AR | Primary |
Addresses
Primary practice location
1607 Main St
Van Buren, AR 72956-4735
Mailing address
12192 Parker Branch Rd
West Fork, AR 72774-9312
Phone (479) 547-7279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1497668990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12192 PARKER BRANCH RD",
"city": "WEST FORK",
"state": "AR",
"postal_code": "727749312",
"telephone_number": "479-547-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 MAIN ST",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729564735",
"telephone_number": "479-474-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPOZHNIK",
"first_name": "ROMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.