Josh Mansfield, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3987 Issued in AR

Practice address

809 Marshall Rd
Jacksonville, AR 72076-3744

Phone

(501) 982-4444

Fax

(501) 982-6616

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Josh Mansfield DDS, PLLC

  • Dental Clinic/Center
  • Jacksonville, AR
  • NPI 1215624267
  NPD Authorized official
• Gregory K. Bollen, DDS, P.a.

  • General Practice Dentistry
  • Jacksonville, AR
  • NPI 1518379452
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1962817304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763744",
            "telephone_number": "501-982-4444",
            "fax_number": "501-982-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MARSHALL RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763744",
            "telephone_number": "501-982-4444",
            "fax_number": "501-982-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "JOSH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miekka Michelle Maile
• Lori G Main, TECHNICIAN
• Tommy Fred Malone, LPC
• Ashleigh Sumer Mankey, OTR/L
• Leslie Diane Mann, LPC
• Rebecca Ann Mansfield, LCSW
• Mark Smith
• Angela M Marsh, LPC-S
• Lila Grace Martin, PLMSW
• Jamie Rose Martinez

• Dentist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.