Organization Active NPI

Arkansas Maxillofacial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Little Rock, AR
National Provider Identifier
1679900138
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ARKANSAS MAXILLOFACIAL SURGERY CENTER
Practice address
5400 Highland Dr
Little Rock, AR 72223-2002
Phone
(501) 225-8929
Fax
(501) 225-0334
NPI assigned
Sep 30, 2013
Organization subpart
Yes
Parent organization
ARKANSAS MAXILLOFACIAL SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Scott A Schoen, D.D.S.NPI 1417989112
Title
Owner
Phone
(501) 225-8929

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

5400 Highland Dr
Little Rock, AR 72223-2002

Mailing address

5400 Highland Dr
Little Rock, AR 72223-2002
Phone (501) 225-8929

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Maxillofacial Surgery Center3 organizations share this tax ID, including this one
Part of
Arkansas Maxillofacial Surgery Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5400 Highland Dr
Little Rock, AR 72223
Phone (501) 225-8929

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1679900138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-225-8929",
            "fax_number": "501-225-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HIGHLAND DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232002",
            "telephone_number": "501-225-8929",
            "fax_number": "501-225-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS MAXILLOFACIAL SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS MAXILLOFACIAL SURGERY CENTER",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-225-8929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "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 Sep 30, 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.

Verify at the official NPI Registry.