Active NPI
Clifton C. Higgins, D.D.S., P.a.
- General Practice Dentistry
- Jonesboro, AR
National Provider Identifier
1740480847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3096
- Legal business name
- CLIFTON C. HIGGINS, D.D.S., P.A.
- Practice address
- 820 E Matthews Ave
Suite B
Jonesboro, AR 72401-3048 - Phone
- (870) 931-3377
- Fax
- (870) 931-3377
- NPI assigned
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Leiandrea Lynn Higgins, BS, RDA
- Title
- Business Administrator
- Phone
- (870) 935-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3096 | AR | Primary |
Addresses
Primary practice location
820 E Matthews Ave
Suite B
Jonesboro, AR 72401-3048
Mailing address
820 E Matthews Ave
Suite B
Jonesboro, AR 72401-3048
Phone (870) 931-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5F847 | Other | AR | ARKANSAS BCBS |
Other names 1
- Clfiton C. Higgins, D.D.S.
National Provider Directory
National Provider DirectoryLocations
820 E Matthews Ave
Ste B
Jonesboro, AR 72401
Phone (870) 931-3377
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Jonesboro, AR
- NPI 1245329531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1740480847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E MATTHEWS AVE",
"address_2": "SUITE B",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013048",
"telephone_number": "870-931-3377",
"fax_number": "870-931-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E MATTHEWS AVE",
"address_2": "SUITE B",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013048",
"telephone_number": "870-931-3377",
"fax_number": "870-931-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON C. HIGGINS, D.D.S., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "HIGGINS",
"authorized_official_first_name": "LEIANDREA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "870-935-7979",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS, RDA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "3096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BCBS",
"identifier": "5F847",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clfiton C. Higgins, D.D.S.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.