NPIMap

Organization Active NPI

Dr. Johnny Pearce

  • Dentist
  • Springdale, AR
National Provider Identifier
1902159387
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3862 Issued in AR
Legal business name
DR. JOHNNY PEARCE
Practice address
3617 W Sunset Ave
Springdale, AR 72762-4955
Phone
(479) 419-9991
NPI assigned
Oct 22, 2012
Organization subpart
Yes
Parent organization
ADVANCE DENTAL IMPLANT AND DENTURE CENTER,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Johnny Pearce, DDS
Title
PC
Phone
(479) 419-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3862 AR Primary

Addresses

Primary practice location

3617 W Sunset Ave
Springdale, AR 72762-4955

Mailing address

PO Box 702620
Tulsa, OK 74170-2620
Phone (405) 286-9024

Other names 1

  • My Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Arkansas PA7 organizations share this tax ID, including this one
Part of
Rodney P Steffen DDS PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3617 W Sunset Ave
Springdale, AR 72762
Phone (479) 419-9991

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": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1902159387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702620",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741702620",
            "telephone_number": "405-286-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W SUNSET AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624955",
            "telephone_number": "479-419-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHNNY PEARCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCE DENTAL IMPLANT AND DENTURE CENTER,LLC",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "479-419-9991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.