Active NPI
Kyle W. Harris DDS. PLLC
- Dental Clinic/Center
- Springdale, AR
National Provider Identifier
1649377870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KYLE W. HARRIS DDS. PLLC
- Practice address
- 711 Quandt
Springdale, AR 72764 - Phone
- (479) 756-6181
- Fax
- (479) 750-1924
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle W. Harris
- Title
- Dentist
- Phone
- (479) 756-6181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
711 Quandt
Springdale, AR 72764
Mailing address
711 Quandt
Springdale, AR 72764
Phone (479) 756-6181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166540631 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
711 Quandt Ave
Springdale, AR 72764
Phone (479) 756-6181
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- El Dorado, AR
- NPI 1396915534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1649377870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 QUANDT",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764",
"telephone_number": "479-756-6181",
"fax_number": "479-750-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 QUANDT",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764",
"telephone_number": "479-756-6181",
"fax_number": "479-750-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYLE W. HARRIS DDS. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "479-756-6181",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166540631",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.