Active NPI
Thomas Ralph Pierce, DDS
- Dentist
- Marion, AR
National Provider Identifier
1922102300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2188
- Practice address
- 329 Block Street
Marion, AR 72364 - Phone
- (870) 739-3256
- Fax
- (870) 739-3996
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2188 | AR | Primary |
Addresses
Primary practice location
329 Block Street
Marion, AR 72364
Mailing address
PO Box 776
329 Block Street
Marion, AR 72364
Phone (870) 739-3256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58555 | Other | AR | BCBS AR |
| 831339 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2188 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas R. Pierce Jr., DDS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Marion, AR
- NPI 1104028844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922102300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776",
"address_2": "329 BLOCK STREET",
"city": "MARION",
"state": "AR",
"postal_code": "72364",
"telephone_number": "870-739-3256",
"fax_number": "870-739-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 BLOCK STREET",
"city": "MARION",
"state": "AR",
"postal_code": "72364",
"telephone_number": "870-739-3256",
"fax_number": "870-739-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "THOMAS",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "58555",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "831339",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.