NPIMap

Organization Active NPI

Kauffman Dental Clinic, PLLC

  • Dental Clinic/Center
  • Fordyce, AR
National Provider Identifier
1982289286
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KAUFFMAN DENTAL CLINIC, PLLC
Practice address
305 Graham St
Fordyce, AR 71742-3230
Phone
(870) 352-2880
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Charles Kauffman Jr., DDSNPI 1770508491
Title
Dentist / Owner
Phone
(870) 352-2880

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

305 Graham St
Fordyce, AR 71742-3230

Mailing address

305 Graham St
Fordyce, AR 71742-3230
Phone (870) 352-2880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1982289286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 GRAHAM ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423230",
            "telephone_number": "870-352-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRAHAM ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423230",
            "telephone_number": "870-352-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUFFMAN DENTAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "870-352-2880",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.