NPIMap

Organization Active NPI

Calvin B. Suffridge, DDS, PA

  • Endodontics
  • North Little Rock, AR
National Provider Identifier
1598812224
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
3182 Issued in AR
Legal business name
CALVIN B. SUFFRIDGE, DDS, PA
Practice address
8 Parkstone Cir
Suite B
North Little Rock, AR 72116-7086
Phone
(501) 907-6000
Fax
(501) 907-5664
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Calvin Buford Suffridge, DDS
Title
Endodontist
Phone
(501) 907-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 3182 AR Primary

Addresses

Primary practice location

8 Parkstone Cir
Suite B
North Little Rock, AR 72116-7086

Mailing address

8 Parkstone Cir
Suite B
North Little Rock, AR 72116-7086
Phone (501) 907-6000

Other identifiers 2

IdentifierTypeStateIssuer
5X097OtherARBCBS HEALTH ADVANTAGE
1388393OtherARUNITED CONCORDIA

Other names 1

  • Calvin B. Suffridge, DDS, MS, PA Doing business as

National Provider Directory

National Provider Directory

Locations

8 Parkstone Cir
#B
North Little Rock, AR 72116
Phone (501) 907-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1598812224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARKSTONE CIR",
            "address_2": "SUITE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167086",
            "telephone_number": "501-907-6000",
            "fax_number": "501-907-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PARKSTONE CIR",
            "address_2": "SUITE B",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167086",
            "telephone_number": "501-907-6000",
            "fax_number": "501-907-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN B. SUFFRIDGE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "SUFFRIDGE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "BUFORD",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "501-907-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AR",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEALTH ADVANTAGE",
            "identifier": "5X097",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1388393",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvin B. Suffridge, DDS, MS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.