Organization Active NPI

Cantrell West Dental

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1841690633
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CANTRELL WEST DENTAL
Practice address
14309 Cantrell Rd Ste 6
Little Rock, AR 72223-4230
Phone
(501) 228-6360
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Robert L Jolly, DDS
Title
President
Phone
(501) 352-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14309 Cantrell Rd Ste 6
Little Rock, AR 72223-4230

Mailing address

14309 Cantrell Rd Ste 6
Little Rock, AR 72223-4230
Phone (501) 228-6360

National Provider Directory

National Provider Directory

Locations

14309 Cantrell Rd
Ste 6
Little Rock, AR 72223
Phone (501) 228-6360

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1841690633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 CANTRELL RD STE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234230",
            "telephone_number": "501-228-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14309 CANTRELL RD STE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234230",
            "telephone_number": "501-228-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTRELL WEST DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-352-6580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 28, 2014; 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.