Organization Active NPI

Ozarks Orthodontics PLLC

  • Dental Clinic/Center
  • Harrison, AR
National Provider Identifier
1538465992
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OZARKS ORTHODONTICS PLLC
Practice address
1405 McCoy Dr
Harrison, AR 72601-2417
Phone
(870) 741-5030
Fax
(870) 741-9112
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Dr. Joe E Bowers, DDS, PANPI 1942392519
Title
Orthodontist
Phone
(870) 741-5030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2454 AR
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1405 McCoy Dr
Harrison, AR 72601-2417

Mailing address

1405 McCoy Dr
Harrison, AR 72601-2417
Phone (870) 741-5030

Other identifiers 1

IdentifierTypeStateIssuer
101314608MedicaidAR

National Provider Directory

National Provider Directory

Locations

1405 McCoy Dr
Harrison, AR 72601
Phone (479) 521-6400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1538465992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MCCOY DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012417",
            "telephone_number": "870-741-5030",
            "fax_number": "870-741-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MCCOY DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012417",
            "telephone_number": "870-741-5030",
            "fax_number": "870-741-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "870-741-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2454",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101314608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.