Organization Active NPI

DRS. Woodard & Sundell, DDS, PA

  • Oral and Maxillofacial Pathology Dentistry
  • Little Rock, AR
National Provider Identifier
1821001637
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
3423 Issued in AR
Legal business name
DRS. WOODARD & SUNDELL, DDS, PA
Practice address
11300 Cantrell Rd Ste 303
Little Rock, AR 72212-1844
Phone
(501) 228-5700
Fax
(501) 228-5702
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Cindy Spangler
Title
Office Manager
Phone
(501) 228-5700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X 3423 AR Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 3352 AR

Addresses

Primary practice location

11300 Cantrell Rd Ste 303
Little Rock, AR 72212-1844

Mailing address

11300 Cantrell Rd Ste 303
Little Rock, AR 72212-1844
Phone (501) 228-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110919000306 AR Part B Supplier - Clinic/Group Practice 1850562182 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

11300 Cantrell Rd
Ste 303
Little Rock, AR 72212
Phone (501) 228-5700

Practitioners & affiliated clinicians

Practitioners 2

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1821001637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CANTRELL RD STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121844",
            "telephone_number": "501-228-5700",
            "fax_number": "501-228-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 CANTRELL RD STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121844",
            "telephone_number": "501-228-5700",
            "fax_number": "501-228-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. WOODARD & SUNDELL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-228-5700"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "AR",
            "license": "3423",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "3352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.