NPIMap

Organization Active NPI

Bethel Burris Oliver PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
National Provider Identifier
1922498062
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4013 Issued in AR
Legal business name
BETHEL BURRIS OLIVER PLLC
Practice address
3333 S Pinnacle Hills Pkwy
Rogers, AR 72758-9100
Phone
(479) 435-6335
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Benjamin Burris
Title
Owner
Phone
(479) 435-6335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 4013 AR Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy
Rogers, AR 72758-9100

Mailing address

3052 N Market Ave
Apt 7
Fayetteville, AR 72703-3514
Phone (479) 435-6335

Other names 1

  • Arkansas Dentistry and Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Dentistry and Braces22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

3052 N Market Ave
Apt 7
Fayetteville, AR 72703

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1922498062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 N MARKET AVE",
            "address_2": "APT 7",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033514",
            "telephone_number": "479-435-6335",
            "fax_number": "479-301-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589100",
            "telephone_number": "479-435-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL BURRIS OLIVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-435-6335"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Dentistry and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.