Cleft & Craniofacial Center of Nwa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEFT & CRANIOFACIAL CENTER OF NWA

Practice address

3394 N. Futrall Dr. Ste #2
Fayetteville, AR 72703

Phone

(800) 476-7131

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

R.Dean McNeel, DDS

Title

Owner

Phone

(800) 476-7131

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1548035496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 N. FUTRALL DR. STE #2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "800-476-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 N. FUTRALL DR. STE #2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "800-476-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEFT & CRANIOFACIAL CENTER OF NWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "MCNEEL",
        "authorized_official_first_name": "R.DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-476-7131",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Taylor Clarke, DPT
• Meghan Clawson, MS, CCC-SLP
• David W Clay, MD
• Clear Vision Clinic PLLC
• Melissa Nicole Cleaveland
• Julia Clem, MD
• Jacoby Markie Clemons, ATC
• Susan D Clemons, PHD.
• Courtney Cleverdon
• Client Focused Counseling

• All providers in Fayetteville, AR
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.