Organization Active NPI

Gary a. Hawthorne, D.M.D., P.a.

  • General Practice Dentistry
  • Fort Smith, AR
National Provider Identifier
1841399664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2783 Issued in AR
Legal business name
GARY A. HAWTHORNE, D.M.D., P.A.
Practice address
1803 S Greenwood Ave
Fort Smith, AR 72901-5821
Phone
(479) 782-2487
Fax
(479) 782-8838
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Allen Hawthorne, D.M.D.NPI 1952412850
Title
President
Phone
(479) 782-2487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2783 AR Primary

Addresses

Primary practice location

1803 S Greenwood Ave
Fort Smith, AR 72901-5821

Mailing address

1803 S Greenwood Ave
Fort Smith, AR 72901-5821
Phone (479) 782-2487

National Provider Directory

National Provider Directory

Locations

1803 S Greenwood Ave
Fort Smith, AR 72901
Phone (479) 782-2487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841399664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 S GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015821",
            "telephone_number": "479-782-2487",
            "fax_number": "479-782-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 S GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015821",
            "telephone_number": "479-782-2487",
            "fax_number": "479-782-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. HAWTHORNE, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-782-2487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.