Active NPI
Miranda M Childs DDS
- Dentist
- Arkadelphia, AR
National Provider Identifier
1891987061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3103
- Legal business name
- MIRANDA M CHILDS DDS
- Practice address
- 312 Professional Park Dr
Suite D
Arkadelphia, AR 71923-5315 - Phone
- (870) 245-2323
- Fax
- (870) 245-2368
- NPI assigned
- Aug 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miranda Michelle Childs, DDS
- Title
- Owner/Dentist
- Phone
- (870) 245-2323
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3103 | AR | Primary |
Addresses
Primary practice location
312 Professional Park Dr
Suite D
Arkadelphia, AR 71923-5315
Mailing address
312 Professional Park Dr
Suite D
Arkadelphia, AR 71923-5315
Phone (870) 245-2323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 766360 | Other | AR | UNITED CONCORDIA |
| 5U242 | Other | AR | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
312 Professional Park Dr
Ste D
Arkadelphia, AR 71923
Phone (870) 245-2323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Arkadelphia, AR
- NPI 1043325145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186963200000",
"number": "1891987061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 PROFESSIONAL PARK DR",
"address_2": "SUITE D",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235315",
"telephone_number": "870-245-2323",
"fax_number": "870-245-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 PROFESSIONAL PARK DR",
"address_2": "SUITE D",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235315",
"telephone_number": "870-245-2323",
"fax_number": "870-245-2368"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRANDA M CHILDS DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A",
"authorized_official_last_name": "CHILDS",
"authorized_official_first_name": "MIRANDA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "870-245-2323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AR",
"license": "3103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "766360",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "5U242",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.