NPIMap

Organization Active NPI

Dental Health Associates of Arkansas, P.a.

Doing business as Family Dental Care of Rogers

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1841610706
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.
Doing business as
Family Dental Care of Rogers
Practice address
2886 W Walnut St
Rogers, AR 72756-0335
Phone
(579) 899-6444
NPI assigned
Apr 18, 2014
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2886 W Walnut St
Rogers, AR 72756-0335

Mailing address

2886 W Walnut St
Rogers, AR 72756-0335

Other names 1

  • Family Dental Care of Rogers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Johnny Pearce7 organizations share this tax ID, including this one
Part of
Dr Johnny Pearce

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2886 W Walnut St
Rogers, AR 72756
Phone (479) 899-6444

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1841610706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560335",
            "telephone_number": "579-899-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF ARKANSAS, P.A.",
        "enumeration_date": "2014-04-18",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Rogers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Dental Care of Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.