Active NPI
Spencer Mobbs, DDS
- Dentist
- Greenbrier, AR
National Provider Identifier
1598116667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4128
- Practice address
- 15 Wilson Farm Rd
Greenbrier, AR 72058-9310 - Phone
- (501) 679-6736
- Fax
- (501) 679-5967
- NPI assigned
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4128 | AR | Primary |
Addresses
Primary practice location
15 Wilson Farm Rd
Greenbrier, AR 72058-9310
Mailing address
15 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4128 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbrier Dentistry PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Greenbrier Family Dental and Braces
- General Practice Dentistry
- Greenbrier, AR
- NPI 1740848811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1598116667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WILSON FARM RD",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589310",
"telephone_number": "501-679-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WILSON FARM RD",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589310",
"telephone_number": "501-679-6736",
"fax_number": "501-679-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBBS",
"first_name": "SPENCER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbrier, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.