NPIMap

Organization Active NPI

Benjamin G. Burris, DDS, MDS, PA

Doing business as Riverbend Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Smith, AR
National Provider Identifier
1649619321
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3465 Issued in AR
Legal business name
BENJAMIN G. BURRIS, DDS, MDS, PA
Doing business as
Riverbend Orthodontics
Practice address
3015 Free Ferry Rd
Fort Smith, AR 72903-1713
Phone
(479) 782-0339
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Benjamin G. Burris, DDS, MDS
Title
Doctor
Phone
(870) 972-8294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3465 AR Primary

Addresses

Primary practice location

3015 Free Ferry Rd
Fort Smith, AR 72903-1713

Mailing address

3015 Free Ferry Rd
Fort Smith, AR 72903-1713
Phone (479) 782-0339

Other names 1

  • Riverbend Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin G Burris DDS MDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1649619321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 FREE FERRY RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031713",
            "telephone_number": "479-782-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 FREE FERRY RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031713",
            "telephone_number": "479-782-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN G. BURRIS, DDS, MDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "870-972-8294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbend Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.