Organization Active NPI

Clifton C. Higgins, D.D.S., P.a.

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1740480847
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3096 Issued in AR
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

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
5F847OtherARARKANSAS BCBS

Other names 1

  • Clfiton C. Higgins, D.D.S. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.