Arkansas Orthodontic Center

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3465 Issued in AR

Legal business name

ARKANSAS ORTHODONTIC CENTER

Practice address

3409 Gateway Cove
Jonesboro, AR 72404

Phone

(870) 972-0460

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Gray Burris, DDS MDS PA

Title

Orthodontist

Phone

(870) 972-8249

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Arkansas Orthodontic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Central Arkansas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hot Springs, AR
  • NPI 1265691885
  NPD tax ID

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1740449339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 GATEWAY COVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72404",
            "telephone_number": "870-972-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 GATEWAY COVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72404",
            "telephone_number": "870-972-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ORTHODONTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "870-972-8249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167957631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Endocrinology
• Arkansas Home Health Providers-IV, LLC
• Arkansas Home Hospice, LLC
• Arkansas Home Monitoring
• Arkansas Kids in Motion
• Arkansas Orthopedics PA
• Arkansas Orthopedics PA
• Arkansas State University Athletic Training
• Arkansas State University Student Health Center
• Arkansas Urology Clinic, LTD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.