Active NPI
Stephen and Rachel Deal, DDS, PA
- Dental Clinic/Center
- Greenbrier, AR
National Provider Identifier
1508089533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 3442
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149969608 | Medicaid | AR | |
| 150317608 | Medicaid | AR | |
| 156759631 | Medicaid | AR |
National Provider Directory
National Provider DirectoryNPI 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.