NPIMap

Organization Active NPI

Bill Pickard, DDS, Ms, PA

Doing business as Arkansas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Van Buren, AR
National Provider Identifier
1609108620
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2035 Issued in AR
Legal business name
BILL PICKARD, DDS, MS, PA
Doing business as
Arkansas Orthodontics
Practice address
711 E Pointer TRL
Van Buren, AR 72956-2307
Phone
(479) 471-5600
Fax
(479) 471-5601
NPI assigned
Feb 1, 2010
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Bill A Pickard III, DDS, MS, PA
Title
Owner
Phone
(479) 471-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2035 AR Primary

Addresses

Primary practice location

711 E Pointer TRL
Van Buren, AR 72956-2307

Mailing address

711 E Pointer TRL
Van Buren, AR 72956-2307
Phone (479) 471-5600

Other identifiers 2

IdentifierTypeStateIssuer
200094570AMedicaidOK
150720631MedicaidAR

Other names 1

  • Arkansas Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Orthodontics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 E Pointer Trl
Van Buren, AR 72956
Phone (479) 471-5600

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1609108620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E POINTER TRL",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562307",
            "telephone_number": "479-471-5600",
            "fax_number": "479-471-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E POINTER TRL",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562307",
            "telephone_number": "479-471-5600",
            "fax_number": "479-471-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL PICKARD, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-471-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS, MS, PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094570A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150720631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.