NPIMap

Organization Active NPI

Fianna Family Dentistry

  • Point of Service
  • Fort Smith, AR
National Provider Identifier
1679774434
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
3005 Issued in AR
Legal business name
FIANNA FAMILY DENTISTRY
Practice address
8901 Jenny Lind Rd
Ste 6a
Fort Smith, AR 72908-8627
Phone
(479) 648-8844
Fax
(479) 648-9288
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Angela Denise WigginsNPI 1558381962
Title
Owner
Phone
(479) 648-8844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 3005 AR Primary

Addresses

Primary practice location

8901 Jenny Lind Rd
Ste 6a
Fort Smith, AR 72908-8627

Mailing address

8901 Jenny Lind Rd
Ste 6a
Fort Smith, AR 72908-8627
Phone (479) 648-8844

National Provider Directory

National Provider Directory

Locations

8901 Jenny Lind Rd
Ste 6A
Fort Smith, AR 72908
Phone (479) 648-8844

Practitioners & affiliated clinicians

Practitioners 1

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1679774434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 JENNY LIND RD",
            "address_2": "STE 6A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088627",
            "telephone_number": "479-648-8844",
            "fax_number": "479-648-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 JENNY LIND RD",
            "address_2": "STE 6A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088627",
            "telephone_number": "479-648-8844",
            "fax_number": "479-648-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIANNA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-648-8844",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AR",
            "license": "3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 2008; 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.