Active NPI
Chris Richard Eastburn
- General Practice Dentistry
- Little Rock, AR
National Provider Identifier
1821787599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4754
- Practice address
- 13600 David O Dodd Rd
Little Rock, AR 72210 - Phone
- (501) 312-7576
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 4754 | AR | Primary |
Addresses
Primary practice location
13600 David O Dodd Rd
Little Rock, AR 72210
Mailing address
13600 David O Dodd Rd
Little Rock, AR 72210-2746
Phone (501) 276-4436
Other practice location 1
1500 Park Avenue
Saint Louis, MO 63104
Phone (314) 833-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Family Dental, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Little Rock, AR
- NPI 1952431868
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1821787599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13600 DAVID O DODD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722102746",
"telephone_number": "501-276-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13600 DAVID O DODD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72210",
"telephone_number": "501-312-7576"
}
],
"practiceLocations": [
{
"address_1": "1500 Park Avenue",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63104",
"country_code": "US",
"telephone_number": "314-833-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTBURN",
"first_name": "CHRIS",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4754",
"primary": true
}
],
"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 Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.