Organization Active NPI

Garry L. Hargis, D.D.S., PA

  • Dental Clinic/Center
  • Little Rock, AR
National Provider Identifier
1508968207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
106 Issued in AR
Legal business name
GARRY L. HARGIS, D.D.S., PA
Practice address
8211 Geyer Springs Rd
Suite P-4
Little Rock, AR 72209-4952
Phone
(501) 562-5183
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Garry L. Hargis, D.D.S.
Title
President
Phone
(501) 562-5183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 106 AR Primary

Addresses

Primary practice location

8211 Geyer Springs Rd
Suite P-4
Little Rock, AR 72209-4952

Mailing address

8211 Geyer Springs Rd
Suite P-4
Little Rock, AR 72209-4952
Phone (501) 562-5183

Other identifiers 2

IdentifierTypeStateIssuer
785774OtherPAUNITED CONCARDIA
58280OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8211 Geyer Springs Rd
Ste P4
Little Rock, AR 72209
Phone (501) 562-5183

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508968207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 GEYER SPRINGS RD",
            "address_2": "SUITE P-4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094952",
            "telephone_number": "501-562-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 GEYER SPRINGS RD",
            "address_2": "SUITE P-4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094952",
            "telephone_number": "501-562-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY L. HARGIS, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-562-5183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCARDIA",
            "identifier": "785774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58280",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.