Neighborhood Dental Services of Nwa, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

2401 Issued in AR

Legal business name

NEIGHBORHOOD DENTAL SERVICES OF NWA, PLLC

Doing business as

My Village Pediatric Dentistry

Practice address

1909 E Central Ave
Bentonville, AR 72712-5601

Phone

(479) 273-9302

Fax

(479) 268-4630

NPI assigned

Feb 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. William Thomas Mahon, DDS

Title

Manager and Sole Member

Phone

(479) 619-9052

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• My Village Pediatric Dentistry Doing business as

Practitioners 1

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

• Kathryn Morrison Rinehart, D.D.S.

  • Dentist
  • Bentonville, AR
  • NPI 1922361211
  NPD (past)

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

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329609600000",
    "number": "1992078125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 POPLAR PL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564249",
            "telephone_number": "479-619-9052",
            "fax_number": "479-636-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E CENTRAL AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125601",
            "telephone_number": "479-273-9302",
            "fax_number": "479-268-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD DENTAL SERVICES OF NWA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-19",
        "last_updated": "2012-02-19",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER AND SOLE MEMBER",
        "authorized_official_telephone_number": "479-619-9052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190167631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Village Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonita Sue Nanos, RN
• Steffanie Naples
• Natural State Chiropractic PLLC
• Natural State Chiropractic, PLLC
• Kendall Jenay Neeriemer, PA-S
• Danny Nicholas Neighbors, PTA
• Whitney Nellore, LPC, NCC
• Alicia Nelson
• Robyn Lea Nelson, M.S., ED.S.
• Shanica Nembhard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; 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.