NPIMap

Organization Active NPI

Michael Ashcraft D.D.S., M.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
National Provider Identifier
1972038628
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2838 Issued in AR
Legal business name
MICHAEL ASHCRAFT D.D.S., M.S., P.A.
Practice address
23 Shackleford Dr
Suite a
Little Rock, AR 72211-2859
Phone
(501) 225-3964
Fax
(501) 225-8964
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Mrs. Audrey Flakoll
Title
Treatment & Financial Coordinator
Phone
(501) 225-3964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2838 AR Primary

Addresses

Primary practice location

23 Shackleford Dr
Suite a
Little Rock, AR 72211-2859

Mailing address

23 Shackleford Dr
Suite a
Little Rock, AR 72211-2859
Phone (501) 225-3964

Other identifiers 2

IdentifierTypeStateIssuer
207606631MedicaidAR
117909608MedicaidAR

National Provider Directory

National Provider Directory

Locations

23 Shackleford Dr
Ste A
Little Rock, AR 72211
Phone (501) 225-3964

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": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1972038628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHACKLEFORD DR",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112859",
            "telephone_number": "501-225-3964",
            "fax_number": "501-225-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SHACKLEFORD DR",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112859",
            "telephone_number": "501-225-3964",
            "fax_number": "501-225-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ASHCRAFT D.D.S., M.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "FLAKOLL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "TREATMENT & FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "501-225-3964",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207606631",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117909608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 1, 2017; 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.