Active NPI
Drew Toole, D.D.S., P. a.
- Preferred Provider Organization
- Pine Bluff, AR
National Provider Identifier
1740695576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- AR2324
- Legal business name
- DREW TOOLE, D.D.S., P. A.
- Practice address
- 4100 W 28TH Ave
Pine Bluff, AR 71603-4726 - Phone
- (870) 879-4870
- Fax
- (870) 879-5077
- NPI assigned
- Jul 1, 2014
- Last updated
- Jul 1, 2014
- 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
- Dr. Drew W. Toole, D.D.S.
- Title
- Owner
- Phone
- (870) 879-4870
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | AR2324 | AR | Primary |
Addresses
Primary practice location
4100 W 28TH Ave
Pine Bluff, AR 71603-4726
Mailing address
4100 W 28TH Ave
Pine Bluff, AR 71603-4726
Phone (870) 879-4870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639396807 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Pine Bluff, AR
- NPI 1639396807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1740695576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034726",
"telephone_number": "870-879-4870",
"fax_number": "870-879-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W 28TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034726",
"telephone_number": "870-879-4870",
"fax_number": "870-879-5077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREW TOOLE, D.D.S., P. A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-01",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "TOOLE",
"authorized_official_first_name": "DREW",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-879-4870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "AR",
"license": "AR2324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639396807",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.