Organization Active NPI

Todd Higgnbotham, PA

  • General Practice Dentistry
  • Trumann, AR
National Provider Identifier
1790099893
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TODD HIGGNBOTHAM, PA
Doing business as
Higginbotham Family Dental
Practice address
221 Highway 463 N
Suite B
Trumann, AR 72472-3503
Phone
(870) 483-5011
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Deana Muegge
Title
Office Manager
Phone
(870) 932-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

221 Highway 463 N
Suite B
Trumann, AR 72472-3503

Mailing address

221 Highway 463 N
Suite B
Trumann, AR 72472-3503
Phone (870) 483-5011

Other names 1

  • Higginbotham Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Higginbotham Dental Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

221 Highway 463 N
#B
Trumann, AR 72472
Phone (870) 483-5011

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1790099893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HIGHWAY 463 N",
            "address_2": "SUITE B",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724723503",
            "telephone_number": "870-483-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HIGHWAY 463 N",
            "address_2": "SUITE B",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724723503",
            "telephone_number": "870-483-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD HIGGNBOTHAM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "MUEGGE",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-932-8585"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Higginbotham Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trumann, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.