White River Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3078 Issued in AR

Legal business name

WHITE RIVER DENTAL CENTER

Practice address

259 Eagle Mountain Blvd
Batesville, AR 72501-4232

Phone

(870) 698-0900

Fax

(870) 698-0332

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Chunn, D.D.S.NPI 1073699542

Title

Owner/Dentist

Phone

(870) 698-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mark W. Chunn

  • General Practice Dentistry
  • Batesville, AR
  • NPI 1578151601
  NPPES parent name

Practitioners 1

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

• Mark W. Chunn, DDS

  • General Practice Dentistry
  • Batesville, AR
  • NPI 1073699542
  NPD (past) Authorized official

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1720316359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 EAGLE MOUNTAIN BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014232",
            "telephone_number": "870-698-0900",
            "fax_number": "870-698-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 EAGLE MOUNTAIN BLVD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014232",
            "telephone_number": "870-698-0900",
            "fax_number": "870-698-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "CHUNN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-698-0900",
        "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": "3078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179175631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Westendorf
• Jordan Wheeler, SLP-A
• Grace Whitaker
• White River Area Agency on Aging,Inc.
• White River Chiropractic Life Center, Inc.
• White River Diagnostic Clinic
• White River Emergency Group, LLC
• White River Health Anesthesia Service Group, Inc.
• White River Health System
• White River Health System

• General Practice Dentistry in Batesville, AR
• Providers in Batesville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.