D&D Doctors PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4008 Issued in AR

Legal business name

D&D DOCTORS PLLC

Practice address

20602 Arch Street Pike
Hensley, AR 72065-9442

Phone

(347) 851-0116

Fax

(501) 891-5672

NPI assigned

May 17, 2017

Organization subpart

No

Name

Sanjay R Dass, MD

Title

Medical Director

Phone

(501) 626-0053

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2024.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1831626183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20602 ARCH STREET PIKE",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659442",
            "telephone_number": "347-851-0116",
            "fax_number": "501-891-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20602 ARCH STREET PIKE",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720659442",
            "telephone_number": "347-851-0116",
            "fax_number": "501-891-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&D DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "DASS",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "501-626-0053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4008",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E4008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157860001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5N254",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.