Individual provider Active NPI

Jahon Thomas Zehtaban, DDS

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1679003909
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4181 Issued in AR
Practice address
16524 Chenal Pkwy
Little Rock, AR 72223-5920
Phone
(501) 821-4200
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4181 AR Primary

Addresses

Primary practice location

16524 Chenal Pkwy
Little Rock, AR 72223-5920

Mailing address

16524 Chenal Pkwy
Little Rock, AR 72223-5920
Phone (501) 821-4200

Other practice location 1

1409 S Rock St Ste B
Sheridan, AR 72150-7180
Phone (870) 942-2020

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Z Dental PLLC CurrentSince Jun 18, 2023 Accepting new patients
Smile Center of Sheridan, PLLC General Practice PastSince Nov 20, 2022 Accepting new patients
Stephen a. Deal DDS PLLC Past Accepting new patients

Locations

16524 Chenal Pkwy
Little Rock, AR 72223
Phone (501) 821-4200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1679003909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16524 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235920",
            "telephone_number": "501-821-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16524 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235920",
            "telephone_number": "501-821-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 S Rock St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "AR",
            "postal_code": "721507180",
            "country_code": "US",
            "telephone_number": "870-942-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEHTABAN",
        "first_name": "JAHON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.