Axpm Cabot Pedo, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3321 Issued in AR

Legal business name

AXPM CABOT PEDO, PLLC

Practice address

906 S Pine St
Cabot, AR 72023-3806

Phone

(501) 843-0200

NPI assigned

Feb 12, 2016

Last updated

Feb 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Hiller

Title

Owner

Phone

(501) 781-2777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1780043265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24470",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722214470",
            "telephone_number": "501-781-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S PINE ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233806",
            "telephone_number": "501-843-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPM CABOT PEDO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "HILLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-781-2777"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Asbery, MS, ATC
• Brenda H Ashley, MD
• Amanda Atkinson
• Luke Preston Audirsch, DC
• Autumn Adams OD PLLC (Global Eye Care)
• B. Darlene Byrd, MNSC, Apn, P.a.
• Back in Action Chiropractic, LLC
• Fallon Danielle Backus
• Charles Daniel Baird, LPC
• Chloe Baldwin, APRN PNP

• Pediatric Dentistry in Cabot, AR
• Providers in Cabot, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.