Organization Active NPI

Stephen and Rachel Deal, DDS, PA

  • Dental Clinic/Center
  • Greenbrier, AR
National Provider Identifier
1508089533
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3442 Issued in AR
Legal business name
STEPHEN AND RACHEL DEAL, DDS, PA
Practice address
17 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone
(501) 679-4700
Fax
(501) 679-4777
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Stephen A Deal, DDS
Title
Dentist
Phone
(501) 679-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3442 AR Primary
Dental Clinic/Center 261QD0000X 3441 AR

Addresses

Primary practice location

17 Wilson Farm Rd
Greenbrier, AR 72058-9310

Mailing address

17 Wilson Farm Rd
P O Box 310
Greenbrier, AR 72058-9310
Phone (501) 679-4700

Other identifiers 3

IdentifierTypeStateIssuer
149969608MedicaidAR
150317608MedicaidAR
156759631MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1508089533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WILSON FARM RD",
            "address_2": "P O BOX 310",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589310",
            "telephone_number": "501-679-4700",
            "fax_number": "501-679-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WILSON FARM RD",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589310",
            "telephone_number": "501-679-4700",
            "fax_number": "501-679-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN AND RACHEL DEAL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-679-4700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3442",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149969608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150317608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156759631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.