Active NPI
Rebecca Lynn Spearman, DDS
- General Practice Dentistry
- Conway, AR
National Provider Identifier
1972063386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4425
- Practice address
- 2235 Dave Ward Dr Ste 103
Conway, AR 72034-7040 - Phone
- (501) 932-0192
- NPI assigned
- Mar 21, 2019
- Last updated
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4425 | AR | Primary |
Addresses
Primary practice location
2235 Dave Ward Dr Ste 103
Conway, AR 72034-7040
Mailing address
9 Red Oak PL
Maumelle, AR 72113-6805
Phone (479) 886-5526
Other practice location 1
1600 E Oak St Ste B
Conway, AR 72032-4740
Phone (501) 358-4101
Other names 1
- Rebecca Lynn Mackie
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4425 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Oak Dental PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1972063386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 RED OAK PL",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136805",
"telephone_number": "479-886-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 DAVE WARD DR STE 103",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347040",
"telephone_number": "501-932-0192"
}
],
"practiceLocations": [
{
"address_1": "1600 E Oak St Ste B",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720324740",
"country_code": "US",
"telephone_number": "501-358-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEARMAN",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MACKIE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.