Organization Active NPI

Dentalways of Little Rock PLLC

  • Dentist
  • Little Rock, AR
National Provider Identifier
1730711227
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTALWAYS OF LITTLE ROCK PLLC
Practice address
1415 Breckenridge Dr Ste D
Little Rock, AR 72227-4864
Phone
(501) 224-2333
NPI assigned
Feb 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Denesh K Khullar
Title
Managing Member
Phone
(501) 240-6011

Specialties & licenses 1

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

Addresses

Primary practice location

1415 Breckenridge Dr Ste D
Little Rock, AR 72227-4864

Mailing address

PO Box 241763
Little Rock, AR 72223-0014
Phone (501) 224-2333

National Provider Directory

National Provider Directory

Locations

1415 Breckenridge Dr
Ste D
Little Rock, AR 72227
Phone (501) 224-2333

Practitioners & affiliated clinicians

Practitioners 1

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": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1730711227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241763",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230014",
            "telephone_number": "501-224-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BRECKENRIDGE DR STE D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274864",
            "telephone_number": "501-224-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALWAYS OF LITTLE ROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "DENESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "501-240-6011"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 12, 2020; 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.