Organization Active NPI

Axpm-Searcy Pedo PLLC

  • Pediatric Dentistry
  • Searcy, AR
National Provider Identifier
1679938781
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AXPM-SEARCY PEDO PLLC
Practice address
622 S Main St
Searcy, AR 72143-6852
Phone
(501) 588-3144
NPI assigned
Dec 17, 2015
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Bryan Hiller
Title
Owner
Phone
(501) 781-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X AR Primary

Addresses

Primary practice location

622 S Main St
Searcy, AR 72143-6852

Mailing address

PO Box 24470
Little Rock, AR 72221-4470
Phone (501) 781-2777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1679938781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24470",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722214470",
            "telephone_number": "501-781-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436852",
            "telephone_number": "501-588-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM-SEARCY PEDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-781-2777"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.