Organization Active NPI

Harris and Reynolds Family Dental

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1730296377
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARRIS AND REYNOLDS FAMILY DENTAL
Practice address
9801 Stagecoach Rd
Little Rock, AR 72210-5737
Phone
(501) 455-6100
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
David Reynolds, DDSNPI 1154437788
Title
Owner
Phone
(501) 455-6100

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AR Primary

Addresses

Primary practice location

9801 Stagecoach Rd
Little Rock, AR 72210-5737

Mailing address

9801 Stagecoach Rd
Little Rock, AR 72210-5737
Phone (501) 455-6100

Other identifiers 1

IdentifierTypeStateIssuer
5F111OtherARBLUE CROSS

National Provider Directory

National Provider Directory

Locations

9801 Stagecoach Rd
Little Rock, AR 72210
Phone (501) 455-6100

6800 Baseline Rd
Little Rock, AR 72209
Phone (501) 568-2425

Practitioners & affiliated clinicians

Practitioners 4

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1730296377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 STAGECOACH RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105737",
            "telephone_number": "501-455-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 STAGECOACH RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105737",
            "telephone_number": "501-455-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS AND REYNOLDS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-455-6100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5F111",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.