Active NPI
Terry William Bushay, D.D.S.
- Dentist
- Holiday Island, AR
National Provider Identifier
1730223157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3071
- Practice address
- 1 Park Dr
Ste D
Holiday Island, AR 72631-9216 - Phone
- (479) 253-2262
- Fax
- (479) 253-2288
- NPI assigned
- Feb 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3071 | AR | Primary |
Addresses
Primary practice location
1 Park Dr
Ste D
Holiday Island, AR 72631-9216
Mailing address
1 Park Dr
Ste D
Holiday Island, AR 72631-9216
Phone (479) 253-2262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3071 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730223157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK DR",
"address_2": "STE D",
"city": "HOLIDAY ISLAND",
"state": "AR",
"postal_code": "726319216",
"telephone_number": "479-253-2262",
"fax_number": "479-253-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK DR",
"address_2": "STE D",
"city": "HOLIDAY ISLAND",
"state": "AR",
"postal_code": "726319216",
"telephone_number": "479-253-2262",
"fax_number": "479-253-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHAY",
"first_name": "TERRY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holiday Island, AR
- Air Evac EMS, Inc. (Air Evac Lifeteam)
- Andy Langston, OD, PA
- Jason Ayers, PTA
- Lilly Bickford, COTA/L
- Jill J Broyles, COTA
- Sidney Carnes
- Sarah Davis
- Rene Charles Duffourc III, M.D.
- Eureka Springs Hospital (Eureka Springs Hospital Home Health and Hospice)
- Eureka Springs Hospital (Eureka Srpings Hospital Home Health and Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.