Active NPI
Terry G Box DDS
- General Practice Dentistry
- Fayetteville, AR
National Provider Identifier
1598110652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2180
- Legal business name
- TERRY G BOX DDS
- Practice address
- 2101 N Green Acres Rd
Fayetteville, AR 72703-2808 - Phone
- (479) 521-4822
- Fax
- (479) 521-5477
- NPI assigned
- Apr 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly R Bridges
- Title
- Office Manager
- Phone
- (479) 521-4822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2180 | AR | Primary |
Addresses
Primary practice location
2101 N Green Acres Rd
Fayetteville, AR 72703-2808
Mailing address
2101 N Green Acres Rd
Fayetteville, AR 72703-2808
Phone (479) 521-4822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023032802 | Other | AR | NPI |
National Provider Directory
National Provider DirectoryLocations
2101 N Green Acres Rd
Fayetteville, AR 72703
Phone (479) 521-4822
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fayetteville, AR
- NPI 1023032802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461628800000",
"number": "1598110652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N GREEN ACRES RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032808",
"telephone_number": "479-521-4822",
"fax_number": "479-521-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N GREEN ACRES RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032808",
"telephone_number": "479-521-4822",
"fax_number": "479-521-5477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRY G BOX DDS",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "479-521-4822",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1023032802",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.