North Shore Family Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4023 Issued in AR

Legal business name

NORTH SHORE FAMILY DENTAL CARE LLC

Practice address

7525 Young Rd Ste a
North Little Rock, AR 72118-2421

Phone

(501) 753-8700

NPI assigned

Nov 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brett Decoursey, D.D.S.NPI 1184039174

Title

Owner/ Dentist

Phone

(501) 753-8700

Specialties & licenses 1

Addresses

Other names 1

• North Shore Family Dental Care Doing business as

Locations

Practitioners 1

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

• Brett Decoursey, D.D.S.

  • Dentist
  • North Little Rock, AR
  • NPI 1184039174
  NPD (past) Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1831562545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 YOUNG RD STE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182421",
            "telephone_number": "501-753-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 YOUNG RD STE A",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182421",
            "telephone_number": "501-753-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "DECOURSEY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "501-753-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• North Little Rock, PLLC
• North Pulaski Urology PL
• Northcare LLC
• Northridge HC&R Nursing LLC
• Northside Therapy Center Inc
• Ashley Nicole Norton, PHARMD
• Samuel W. Norwood II, M.D.

• General Practice Dentistry in North Little Rock, AR
• Providers in North 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 3, 2015; 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.