Individual provider Active NPI

Michael Lindsey Kinard, DDS

  • General Practice Dentistry
  • Malvern, AR
National Provider Identifier
1922457332
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4094 Issued in AR
Practice address
927 S Main St
Malvern, AR 72104-5220
Phone
(501) 337-9559
Fax
(501) 337-7447
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4094 AR Primary

Addresses

Primary practice location

927 S Main St
Malvern, AR 72104-5220

Mailing address

120 Lombard CT
Hot Springs, AR 71901-7360
Phone (870) 500-8155

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

LicenseStateTypeSpecialty
4094ARMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1922457332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LOMBARD CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017360",
            "telephone_number": "870-500-8155",
            "fax_number": "501-337-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S MAIN ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045220",
            "telephone_number": "501-337-9559",
            "fax_number": "501-337-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINARD",
        "first_name": "MICHAEL",
        "middle_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.