NPIMap

Organization Active NPI

Montgomery D. Heathman, D.D.S., P.a.

  • General Practice Dentistry
  • Springdale, AR
National Provider Identifier
1770688863
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3333 Issued in AR
Legal business name
MONTGOMERY D. HEATHMAN, D.D.S., P.A.
Practice address
1333 Arapaho Ave
Suite B
Springdale, AR 72764-6936
Phone
(479) 756-6155
Fax
(479) 725-1779
NPI assigned
Sep 13, 2006
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. Montgomery D. Heathman, D.D.S.
Title
President Ceo
Phone
(479) 756-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3333 AR Primary

Addresses

Primary practice location

1333 Arapaho Ave
Suite B
Springdale, AR 72764-6936

Mailing address

1333 Arapaho Ave
Suite B
Springdale, AR 72764-6936
Phone (479) 756-6155

National Provider Directory

National Provider Directory
Tax ID family
Montgomery D Heathman DDS PA2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1770688863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE",
            "address_2": "SUITE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646936",
            "telephone_number": "479-756-6155",
            "fax_number": "479-725-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 ARAPAHO AVE",
            "address_2": "SUITE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646936",
            "telephone_number": "479-756-6155",
            "fax_number": "479-725-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY D. HEATHMAN, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "HEATHMAN",
        "authorized_official_first_name": "MONTGOMERY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "479-756-6155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.