Organization Active NPI

Jeffrey C. Fusilier, DDS PA

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1811051949
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY C. FUSILIER, DDS PA
Practice address
101 Dentista Dr
Hot Springs Village, AR 71909-3503
Phone
(501) 922-6700
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Dr. Jeff Fusilier
Title
President
Phone
(501) 922-6700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

101 Dentista Dr
Hot Springs Village, AR 71909-3503

Mailing address

101 Dentista Dr
Hot Springs Village, AR 71909-3503
Phone (501) 922-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806010851 AR DME Supplier - Oral Surgery - Dentist 2466766282 Practice locations: Hot Springs Village, AR

National Provider Directory

National Provider Directory
Tax ID family
Hot Spring Village Dentistry2 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.

Locations

101 Dentista Dr
Ste A
Hot Springs Village, AR 71909
Phone (501) 922-6700

101 Dentista Dr
Hot Springs Village, AR 71909
Phone (501) 922-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1811051949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093503",
            "telephone_number": "501-922-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DENTISTA DR",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093503",
            "telephone_number": "501-922-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. FUSILIER, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "FUSILIER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-922-6700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.