NPIMap

Organization Active NPI

Heath Bryan Coleman, DDS of Arkansas II, PLLC

  • Dentist
  • Harrison, AR
National Provider Identifier
1720004369
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3315 Issued in AR
Legal business name
HEATH BRYAN COLEMAN, DDS OF ARKANSAS II, PLLC
Practice address
1313 Highway 62 65 N Ste D
Harrison, AR 72601-2005
Phone
(870) 741-1577
Fax
(870) 741-1648
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Amanda Henson
Title
Support Team
Phone
(918) 864-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3315 AR Primary

Addresses

Primary practice location

1313 Highway 62 65 N Ste D
Harrison, AR 72601-2005

Mailing address

200 N Broadway St
Checotah, OK 74426-2432

National Provider Directory

National Provider Directory
Tax ID family
Kirby J Robinson DDS of Arkansas PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1313 Highway 62 65 N
Ste D
Harrison, AR 72601
Phone (870) 741-1577

200 N Broadway St
Checotah, OK 74426
Phone (918) 473-2233

Practitioners & affiliated clinicians

Practitioners 2

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1720004369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BROADWAY ST",
            "city": "CHECOTAH",
            "state": "OK",
            "postal_code": "744262432",
            "fax_number": "918-473-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 HIGHWAY 62 65 N STE D",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012005",
            "telephone_number": "870-741-1577",
            "fax_number": "870-741-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH BRYAN COLEMAN, DDS OF ARKANSAS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SUPPORT TEAM",
        "authorized_official_telephone_number": "918-864-1147"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.