Organization Active NPI

Smith & Davis Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rogers, AR
National Provider Identifier
1598236796
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMITH & DAVIS ORTHODONTICS PLLC
Practice address
604 S 52ND St
Rogers, AR 72758-8601
Phone
(479) 286-0040
Fax
(479) 286-0044
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Stephanie Tackel
Title
Office Manager
Phone
(479) 286-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

604 S 52ND St
Rogers, AR 72758-8601

Mailing address

604 S 52ND St
Rogers, AR 72758-8601
Phone (479) 286-0040

National Provider Directory

National Provider Directory

Locations

604 S 52nd St
Rogers, AR 72758
Phone (479) 286-0040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1598236796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588601",
            "telephone_number": "479-286-0040",
            "fax_number": "479-286-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588601",
            "telephone_number": "479-286-0040",
            "fax_number": "479-286-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & DAVIS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "TACKEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-286-0040"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.