Kinard Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4094 Issued in AR

Legal business name

KINARD DENTISTRY, LLC

Practice address

1215 Military Rd Ste 5
Benton, AR 72015-2937

Phone

(501) 315-5574

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kinard, D.D.S.

Title

Dentist

Phone

(870) 500-8155

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kinard Dental Arts LLC2 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.

• Kinard Dentistry, LLC

  • Dental Clinic/Center
  • Benton, AR
  • NPI 1205308533
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Cooper, DDS

  • Dentist
  • Benton, AR
  • NPI 1184724650
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1669981239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 MILITARY RD STE 3",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MILITARY RD STE 5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152937",
            "telephone_number": "501-315-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINARD DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "KINARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-500-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922457332",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kidd
• Janey Kidd
• Kidsource Therapy
• Kim N Smith M.D.P.a.
• Kinard Dentistry, LLC
• Alicia Kindle
• Christal Kindred, QBHP
• Aeriel King, RECOVERY ASSISTANT
• Ashley King, RECOVERY ASSISTANT
• Austin King

• Dental Clinic/Center in Benton, AR
• Providers in Benton, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.