Kevin S. Pierce, D.D.S. P.a.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

3398 Issued in AR

Legal business name

KEVIN S. PIERCE, D.D.S. P.A.

Practice address

1724 Executive SQ
Jonesboro, AR 72401-6092

Phone

(870) 268-8600

Fax

(870) 268-0044

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin S Pierce, D.D.S.NPI 1336155225

Title

Dentist

Phone

(870) 268-8600

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Kevin Scott Pierce, DDS,PA

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1336155225
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1982883039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016092",
            "telephone_number": "870-268-8600",
            "fax_number": "870-268-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016092",
            "telephone_number": "870-268-8600",
            "fax_number": "870-268-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S. PIERCE, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-268-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "AR",
            "license": "3398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS",
            "identifier": "5-X034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1397202",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14824631",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "2114424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Karen Kenyon, PT
• Chamy Keough, OTD
• Ellen S Kerley, RN
• Dealva Kernodle
• Michael C Ketcham, DO
• KH Enterprises
• Mazen Khalil, M.D.
• Asra S Khan, PSYD
• Fahad Khan, DO
• Muhammad Asad Khan, MD

• Public Health Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Public Health Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.