Bradley R Crossfield DDS of Northwest Arkansas PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BRADLEY R CROSSFIELD DDS OF NORTHWEST ARKANSAS PLLC

Practice address

745 E Joyce Blvd Ste 221
Fayetteville, AR 72703-6392

Phone

(501) 951-0031

NPI assigned

Feb 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Crossfield, DDSNPI 1326487737

Title

Owner

Phone

(501) 951-0031

Specialties & licenses 1

Addresses

Other names 1

• Tooth Squad Pediatric Dentistry Doing business as

Locations

Practitioners 1

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

• Bradley Ray Crossfield, D.D.S.

  • Pediatric Dentistry
  • Little Rock, AR
  • NPI 1326487737
  NPD Authorized official

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1942065263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727190677",
            "telephone_number": "479-326-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E JOYCE BLVD STE 221",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036392",
            "telephone_number": "501-951-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY R CROSSFIELD DDS OF NORTHWEST ARKANSAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CROSSFIELD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-951-0031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Squad Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad H. Green D.D.S., P.a.
• Blaire Bradbury, LAC
• Erin Elizabeth Bradford, MS, OTR/L
• Makenzie Faith Bradford, OT
• Thomas Hal Bradford, MD
• Amy Grace Bradley, M.S, CCC-SLP
• Courtney L Bradley
• Katelyn Nicole Bradley
• Lakisha M. Bradley, LAC
• Matthew S Bradley, MD

• All providers in Fayetteville, AR
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.