Ted M Pinney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3474 Issued in AR

Practice address

815 Marshall Rd
Jacksonville, AR 72076-3744

Phone

(501) 982-4447

Fax

(501) 985-5197

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 28, 2024 through Oct 28, 2026

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ted M. Pinney, DDS, PA

  • General Practice Dentistry
  • Jacksonville, AR
  • NPI 1790155992
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548353733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763744",
            "telephone_number": "501-982-4447",
            "fax_number": "501-985-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763744",
            "telephone_number": "501-982-4447",
            "fax_number": "501-985-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNEY",
        "first_name": "TED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Phillips, PHARMD
• Physician's Management Group
• Physician's Management Group
• Physicians Network Inc. (PNI dba JACKSONVILLE MEDICAL CLINIC)
• Jennifer Elaine Pierce, MSPT
• Hollie Plummer
• Nikki Marie Poe, LAC
• Erin Poerschke, OTR/L
• Ashley Renee Poppy, APRN, FNP
• Shayne L Power, PSY D

• General Practice Dentistry in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.