Active NPI
William Dan Sessoms, DDS
- Dentist
- Stuttgart, AR
National Provider Identifier
1932264876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2445
- Practice address
- 2702 S Main St
Stuttgart, AR 72160-7038 - Phone
- (870) 673-7181
- Fax
- (870) 672-4554
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2445 | AR | |
| Dentist | 122300000X | 2445 | AR | Primary |
Addresses
Primary practice location
2702 S Main St
Stuttgart, AR 72160-7038
Mailing address
4525 Dawson Drive
North Little Rock, AR 72116
Phone (501) 412-4029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58714 | Other | AR | BLUE CROSS BLUE SHIELD |
| 167623608 | Medicaid | AR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2445 | AR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1932264876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 DAWSON DRIVE",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72116",
"telephone_number": "501-412-4029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 S MAIN ST",
"city": "STUTTGART",
"state": "AR",
"postal_code": "721607038",
"telephone_number": "870-673-7181",
"fax_number": "870-672-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESSOMS",
"first_name": "WILLIAM",
"middle_name": "DAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2445",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "58714",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167623608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuttgart, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.