Active NPI
Jamey C. Tinnin D.D.S. Endodontics LTD
- Endodontics
- Fayetteville, AR
National Provider Identifier
1922523091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3148
- Legal business name
- JAMEY C. TINNIN D.D.S. ENDODONTICS LTD
- Practice address
- 1680 E Joyce Blvd
Fayetteville, AR 72703-6214 - Phone
- (479) 957-2443
- NPI assigned
- Aug 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deanna Cushman
- Title
- Office Manager
- Phone
- (479) 957-2443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3148 | AR | Primary |
Addresses
Primary practice location
1680 E Joyce Blvd
Fayetteville, AR 72703-6214
Mailing address
1680 E Joyce Blvd Ste 1
Fayetteville, AR 72703-6214
National Provider Directory
National Provider DirectoryLocations
1680 E Joyce Blvd
Ste 1
Fayetteville, AR 72703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502236800000",
"number": "1922523091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 E JOYCE BLVD STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727036214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727036214",
"telephone_number": "479-957-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMEY C. TINNIN D.D.S. ENDODONTICS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A",
"authorized_official_last_name": "CUSHMAN",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "479-957-2443",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "AR",
"license": "3148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.