NPIMap

Organization Active NPI

Ocean Dental of Arkansas, P.C.

  • Dentist
  • Fayetteville, AR
National Provider Identifier
1710161252
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OCEAN DENTAL OF ARKANSAS, P.C.
Practice address
745 E Joyce Blvd
Suite 224
Fayetteville, AR 72703-6375
Phone
(405) 707-0600
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Chad Brandon Hoecker, DDS
Title
Ceo
Phone
(405) 707-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

745 E Joyce Blvd
Suite 224
Fayetteville, AR 72703-6375

Mailing address

206 W 6TH Ave
Stillwater, OK 74074-4017

National Provider Directory

National Provider Directory
Tax ID family
Ocean Dental of Arkansas PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

745 E Joyce Blvd
Ste 224
Fayetteville, AR 72703

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1710161252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E JOYCE BLVD",
            "address_2": "SUITE 224",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036375",
            "telephone_number": "405-707-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DENTAL OF ARKANSAS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "HOECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-707-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.