Organization Active NPI

Robert P. Smith, D.D.S

  • Dental Clinic/Center
  • Clarksville, AR
National Provider Identifier
1780829200
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1721 Issued in AR
Legal business name
ROBERT P. SMITH, D.D.S
Practice address
105 N Cravens St
Clarksville, AR 72830-3025
Phone
(479) 754-3230
Fax
(479) 754-3030
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Robert Powell Smith, D.D.S.
Title
Owner
Phone
(479) 754-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1721 AR Primary

Addresses

Primary practice location

105 N Cravens St
Clarksville, AR 72830-3025

Mailing address

105 1/2 North Cravens
Clarksville, AR 72830
Phone (479) 754-3230

Other identifiers 1

IdentifierTypeStateIssuer
103088608MedicaidAR

National Provider Directory

National Provider Directory

Locations

105 N Cravens St
Clarksville, AR 72830
Phone (479) 754-3230

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1780829200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 1/2 NORTH CRAVENS",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "72830",
            "telephone_number": "479-754-3230",
            "fax_number": "479-754-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRAVENS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303025",
            "telephone_number": "479-754-3230",
            "fax_number": "479-754-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. SMITH, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-754-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103088608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

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