Individual provider Active NPI

Catherine Akridge, DDS

  • Dentist
  • Farmington, AR
National Provider Identifier
1922593433
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4290 Issued in AR
Practice address
82 Southwinds Rd
Farmington, AR 72730-8660
Phone
(479) 267-4900
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4290 AR Primary

Addresses

Primary practice location

82 Southwinds Rd
Farmington, AR 72730-8660

Mailing address

82 Southwinds Rd
Farmington, AR 72730-8660
Phone (479) 267-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 20, 2021 through Aug 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4290ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weekend Dental Clinic Past Accepting new patients
John C. Bain, DDS, PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1922593433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SOUTHWINDS RD",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308660",
            "telephone_number": "479-267-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOUTHWINDS RD",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308660",
            "telephone_number": "479-267-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRIDGE",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, AR

Sources for this page

Verify at the official NPI Registry.