Cantrell Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANTRELL DENTAL

Practice address

14923 Cantrell Rd
Little Rock, AR 72223-4255

Phone

(501) 690-3468

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Samir Sulieman, DDSNPI 1598190142

Title

Dentist

Phone

(501) 690-3468

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Samir David Sulieman Jr.

  • Dentist
  • Little Rock, AR
  • NPI 1598190142
  NPD Authorized official

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1821567389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14923 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14923 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234255",
            "telephone_number": "501-690-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTRELL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "SULIEMAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-690-3468",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212843608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201828608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horeb Antonio Cano, MD
• Stephen James Canon, M.D.
• Rodrigo Mauricio Canseco
• Morgan M Cantor, MD
• Cantrell Compounding, Inc.
• Cantrell Drug Company
• Cantrell Family Dental Center
• Cantrell Health Pharmacy Corp
• Cantrell West Dental
• Sarah Nation Cantrell, SLP

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.