Individual provider Active NPI

Kristen Dent, M.D.

  • Family Medicine Physician
  • Monticello, AR
National Provider Identifier
1881072791
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-12399 Issued in AR
Practice address
535 Jordan Dr
Monticello, AR 71655-5714
Phone
(870) 367-6246
Fax
(855) 926-7383
NPI assigned
May 12, 2015
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-12399 AR Primary

Addresses

Primary practice location

535 Jordan Dr
Monticello, AR 71655-5714

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Other names 1

  • Ms. Kristen Vaughn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002205 AR Practitioner - Family Practice 8527373604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

535 Jordan Dr
Monticello, AR 71655-5714
Phone (870) 367-6246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems, Inc CurrentSince Mar 25, 2024 Accepting new patients
Mainline Health Systems, Inc CurrentSince Mar 25, 2024 Accepting new patients
Mainline Health Systems Inc Past Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1881072791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JORDAN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555714",
            "telephone_number": "870-367-6246",
            "fax_number": "855-926-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "VAUGHN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.