Organization Active NPI

Kinard Dentistry, LLC

  • Dental Clinic/Center
  • Benton, AR
National Provider Identifier
1669981239
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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.NPI 1922457332
Title
Dentist
Phone
(870) 500-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4094 AR Primary

Addresses

Primary practice location

1215 Military Rd Ste 5
Benton, AR 72015-2937

Mailing address

1215 Military Rd Ste 3
Benton, AR 72015-2937

National Provider Directory

National Provider Directory
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.

Locations

1215 Military Rd
Ste 3
Benton, AR 72015

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • 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.