NPIMap

Organization Active NPI

Smiles of Arkansas Dental Center, PLLC

  • General Practice Dentistry
  • Prescott, AR
National Provider Identifier
1730664475
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF ARKANSAS DENTAL CENTER, PLLC
Practice address
1495 W 1St St N
Prescott, AR 71857-3340
Phone
(870) 826-1576
NPI assigned
Sep 28, 2018
Organization subpart
Yes
Parent organization
SMILES OF ARKANSAS DENTAL CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Robert A. Carter, DDS
Title
Owner
Phone
(870) 777-5769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1495 W 1St St N
Prescott, AR 71857-3340

Mailing address

1495 W 1St St N
Prescott, AR 71857-3340

Other names 1

  • Smiles Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smiles of Arkansas Dental Center PLLC5 organizations share this tax ID, including this one
Part of
Smiles of Arkansas Dental Center PLLC

Other organizations with this tax ID 4

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

Locations

1495 W 1st St N
Prescott, AR 71857
Phone (870) 826-1576

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1730664475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573340",
            "telephone_number": "870-826-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF ARKANSAS DENTAL CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILES OF ARKANSAS DENTAL CENTER, PLLC",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-777-5769",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.