Active NPI
Family Dentistry
- General Practice Dentistry
- Mena, AR
National Provider Identifier
1710101548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2864
- Legal business name
- FAMILY DENTISTRY
- Practice address
- 701 C 7TH Street
Mena, AR 71953 - Phone
- (479) 394-5666
- Fax
- (479) 996-6536
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terrell Wayne Bailey, D.D.S.
- Title
- Owner
- Phone
- (479) 394-5666
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2864 | AR | Primary |
Addresses
Primary practice location
701 C 7TH Street
Mena, AR 71953
Mailing address
701 C 7TH Street
Mena, AR 71953
Phone (479) 394-5666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610535 | Other | PA | UNITED CONCORDIA |
| 884517 | Other | AR | BCBS |
| 58213 | Other | AR | BCBS FEDERAL |
National Provider Directory
National Provider DirectoryLocations
701C 7th St
Mena, AR 71953
Phone (479) 394-5666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Greenwood, AR
- NPI 1467512079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1710101548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 C 7TH STREET",
"city": "MENA",
"state": "AR",
"postal_code": "71953",
"telephone_number": "479-394-5666",
"fax_number": "479-996-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 C 7TH STREET",
"city": "MENA",
"state": "AR",
"postal_code": "71953",
"telephone_number": "479-394-5666",
"fax_number": "479-996-6536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TERRELL",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-394-5666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "610535",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "884517",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "58213",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.