Organization Active NPI

Dermott Family Practice, Inc.

  • General Practice Physician
  • Dermott, AR
National Provider Identifier
1992979181
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E-3872 Issued in AR
Legal business name
DERMOTT FAMILY PRACTICE, INC.
Practice address
105 N Freeman St
Dermott, AR 71638-2304
Phone
(870) 538-3800
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Carolyn E. Vogler, MEDICAL DOCTORNPI 1215968599
Title
President
Phone
(870) 538-3800

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X E-3872 AR Primary

Addresses

Primary practice location

105 N Freeman St
Dermott, AR 71638-2304

Mailing address

PO Box 227
Dermott, AR 71638-0227
Phone (870) 538-3800

Other identifiers 1

IdentifierTypeStateIssuer
154472001MedicaidAR

National Provider Directory

National Provider Directory

Locations

105 N Freeman St
Dermott, AR 71638
Phone (870) 538-3800

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1992979181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380227",
            "telephone_number": "870-538-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N FREEMAN ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382304",
            "telephone_number": "870-538-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMOTT FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "VOGLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-538-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-3872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154472001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dermott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.