NPIMap

Organization Active NPI

Cave Springs Dental

  • Dental Clinic/Center
  • Cave Springs, AR
National Provider Identifier
1902412018
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CAVE SPRINGS DENTAL
Practice address
260 S Gleneagle Dr Ste C
Cave Springs, AR 72718-6011
Phone
(479) 282-1414
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. Casey Dominguez, DDSNPI 1336631084
Title
Owner
Phone
(214) 949-2022

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

260 S Gleneagle Dr Ste C
Cave Springs, AR 72718-6011

Mailing address

260 S Gleneagle Dr Ste C
Cave Springs, AR 72718-6011
Phone (479) 282-1414

National Provider Directory

National Provider Directory

Locations

260 S Gleneagle Dr
Ste C
Cave Springs, AR 72718
Phone (479) 282-1414

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": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1902412018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S GLENEAGLE DR STE C",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727186011",
            "telephone_number": "479-282-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S GLENEAGLE DR STE C",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727186011",
            "telephone_number": "479-282-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE SPRINGS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-949-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.