Daniel Bennett MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DANIEL BENNETT MD PA

Doing business as

Jonesboro Clinic

Practice address

1811 Executive SQ
Jonesboro, AR 72401-6086

Phone

(870) 932-6883

Fax

(870) 972-0719

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Bruce BennettNPI 1447363833

Title

Director

Phone

(870) 932-6884

Specialties & licenses 1

Addresses

Other names 1

• Jonesboro Clinic Doing business as

Locations

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.

• Daniel Bruce Bennett, MD

  • General Practice Physician
  • Jonesboro, AR
  • NPI 1447363833
  Authorized official Same address or phone

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1619381407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016086",
            "telephone_number": "870-932-6883",
            "fax_number": "870-972-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016086",
            "telephone_number": "870-932-6883",
            "fax_number": "870-972-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BENNETT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-932-6884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry Ann Dalton, MCD, CCC-SLP
• Stacey Dalton
• Breanne Damron, SLP
• Dan Johnson PHD Clinical Neuropsychologist,P.a.
• Daniel & Max, LLC (Stanton Optical)
• David Daniel, MD
• Heather Daniels, MCD,CCC-SLP
• Kimberly Deshan Daniels, APRN
• Rileigh Smith Daniels
• Danny E Grubbs (Jonesboro Internal Medicine Clinic)

• Primary Care Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Primary Care Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.