Douglas a Carmical DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DOUGLAS A CARMICAL DDS PA

Practice address

1198 Forest Hills Blvd Ste 107
Bella Vista, AR 72715-2391

Phone

(479) 855-3313

Fax

(479) 855-4314

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Douglas A Carmical, D.D.S.NPI 1952508327

Title

Owner/Provider

Phone

(479) 855-3313

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas A Carmical, D.D.S.

  • Dentist
  • Bella Vista, AR
  • NPI 1952508327
  NPD Authorized official
• Colton Alan Carmical, DDS

  • Dentist
  • Bella Vista, AR
  • NPI 1588272850
  NPD (past)
• Kim David Keisner, D.D.S.

  • General Practice Dentistry
  • Bella Vista, AR
  • NPI 1851396980
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1518418656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 FOREST HILLS BLVD STE 107",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727152391",
            "telephone_number": "479-855-3313",
            "fax_number": "479-855-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 FOREST HILLS BLVD STE 107",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727152391",
            "telephone_number": "479-855-3313",
            "fax_number": "479-855-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A CARMICAL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "CARMICAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "479-855-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Davitt, PTA
• Kailyn Dearing
• Anthony David Delcorral, DDS
• Molly Jean Dillon, AU.D.
• Jan Dorsey
• Angela Mae Dozier, APRN-FNP
• Dr Richard Wike of Nwa PA
• Clara Dunn
• Melody Ruth Elam
• Hayden Elliott, MD

• Dentist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.