Organization Active NPI

Douglas Rinehart, DDS, P.a.

  • Dentist
  • Bentonville, AR
National Provider Identifier
1841691912
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3879 Issued in AR
Legal business name
DOUGLAS RINEHART, DDS, P.A.
Practice address
911 N Walton Blvd
Ste. B
Bentonville, AR 72712-4551
Phone
(479) 464-7500
Fax
(479) 273-7741
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Douglas RinehartNPI 1033472535
Title
Owner/Dentist
Phone
(870) 219-9159

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3879 AR Primary

Addresses

Primary practice location

911 N Walton Blvd
Ste. B
Bentonville, AR 72712-4551

Mailing address

911 N Walton Blvd
Ste. B
Bentonville, AR 72712-4551

Other identifiers 2

IdentifierTypeStateIssuer
1033472535OtherTYPE I NPI
3879OtherARAR DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

911 N Walton Blvd
Ste B
Bentonville, AR 72712
Phone (479) 464-7500

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": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1841691912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N WALTON BLVD",
            "address_2": "STE. B",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N WALTON BLVD",
            "address_2": "STE. B",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124551",
            "telephone_number": "479-464-7500",
            "fax_number": "479-273-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS RINEHART, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "RINEHART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-219-9159",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1033472535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR DENTAL LICENSE",
            "identifier": "3879",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.