Active NPI
Louis C Mitchell, DDS
- Dentist
- Marianna, AR
National Provider Identifier
1659384238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2214
- Practice address
- 23 W Mississippi St
Marianna, AR 72360-2568 - Phone
- (870) 295-0256
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2214 | AR | Primary |
Addresses
Primary practice location
23 W Mississippi St
Marianna, AR 72360-2568
Mailing address
23 W Mississippi St
Marianna, AR 72360-2568
Phone (870) 295-0256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103172608 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1659384238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W MISSISSIPPI ST",
"city": "MARIANNA",
"state": "AR",
"postal_code": "723602568",
"telephone_number": "870-295-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W MISSISSIPPI ST",
"city": "MARIANNA",
"state": "AR",
"postal_code": "723602568",
"telephone_number": "870-295-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LOUIS",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103172608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marianna, AR
- Kimberly McFadden
- Charlotte McKee, RN
- Dixie Quinn Meyer, OTR
- Harry Andre Michel, M.D.
- Brittany Mitchell, DDS
- Roneisha Nash
- Zenobia L Newman, FNP-BC
- Northeast Arkansas Community Mental Health Center Inc (MidSouth Health Systems)
- Northeast Arkansas Community Mental Health Center Inc (Mid-South Health Systems)
- Phillips Clinic Company, LLC (Marianna Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.