NPIMap

Organization Active NPI

Jon C Vammen DDS

  • General Practice Dentistry
  • Conway, AR
National Provider Identifier
1861601015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AR2420 Issued in AR
Legal business name
JON C VAMMEN DDS
Practice address
1219 Front Street
Conway, AR 72032-4101
Phone
(501) 329-3312
Fax
(501) 329-0576
NPI assigned
May 22, 2007
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. Jon C Vammen, DDSNPI 1215153788
Title
General Dentist
Phone
(501) 329-3312

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X AR2420 AR Primary

Addresses

Primary practice location

1219 Front Street
Conway, AR 72032-4101

Mailing address

1219 Front Street
Conway, AR 72032-4101
Phone (501) 329-3312

National Provider Directory

National Provider Directory

Locations

1219 Front St
Conway, AR 72032
Phone (501) 329-3312

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861601015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 FRONT STREET",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324101",
            "telephone_number": "501-329-3312",
            "fax_number": "501-329-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 FRONT STREET",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324101",
            "telephone_number": "501-329-3312",
            "fax_number": "501-329-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON C VAMMEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAMMEN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "501-329-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR2420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, 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.