Organization Active NPI

Scott W. Eichhorn, DDS, PA

  • General Practice Dentistry
  • Heber Springs, AR
National Provider Identifier
1922247717
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3191 Issued in AR
Legal business name
SCOTT W. EICHHORN, DDS, PA
Practice address
309 Southridge Blvd Ste D
Heber Springs, AR 72543-8877
Phone
(501) 362-0550
Fax
(501) 362-8230
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Scottt W Eichhorn, DDS
Title
President
Phone
(501) 362-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3191 AR Primary

Addresses

Primary practice location

309 Southridge Blvd Ste D
Heber Springs, AR 72543-8877

Mailing address

309 Southridge Blvd Ste D
Heber Springs, AR 72543-8877
Phone (501) 362-0550

Other identifiers 1

IdentifierTypeStateIssuer
163490608MedicaidAR

National Provider Directory

National Provider Directory

Locations

309 Southridge Blvd
Ste D
Heber Springs, AR 72543
Phone (501) 362-0550

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1922247717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SOUTHRIDGE BLVD STE D",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438877",
            "telephone_number": "501-362-0550",
            "fax_number": "501-362-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SOUTHRIDGE BLVD STE D",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438877",
            "telephone_number": "501-362-0550",
            "fax_number": "501-362-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. EICHHORN, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "EICHHORN",
        "authorized_official_first_name": "SCOTTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-362-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163490608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.