Organization Active NPI

Dunn Family Dental

  • Dentist
  • North Little Rock, AR
National Provider Identifier
1932545696
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3642 Issued in AR
Legal business name
DUNN FAMILY DENTAL
Practice address
11723 Maumelle Blvd
North Little Rock, AR 72113-6558
Phone
(501) 753-3100
Fax
(501) 753-4505
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Susan Margaret Dunn, DDSNPI 1588770291
Title
Owner/Dentist
Phone
(501) 753-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3642 AR Primary

Addresses

Primary practice location

11723 Maumelle Blvd
North Little Rock, AR 72113-6558

Mailing address

11723 Maumelle Blvd
North Little Rock, AR 72113-6558
Phone (501) 753-3100

Other identifiers 1

IdentifierTypeStateIssuer
196815631MedicaidAR

National Provider Directory

National Provider Directory

Locations

11723 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 753-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1932545696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-753-3100",
            "fax_number": "501-753-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 MAUMELLE BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721136558",
            "telephone_number": "501-753-3100",
            "fax_number": "501-753-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "501-753-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196815631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.