ARKANSAS DENTISTRY AND BRACES
NPI 1013250984
Dentist - Orthodontics and Dentofacial Orthopedics in Van Buren, AR

NPI Status: Active since March 29, 2013

Contact Information

2411 FAYETTEVILLE RD
SUITE 42
VAN BUREN, AR
ZIP 72956
Phone: (479) 471-5600
Fax: (479) 471-5601

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  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics
  • CLIA Number: 04D2087233
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-18-2026

About ARKANSAS DENTISTRY AND BRACES

This page provides the complete NPI Profile along with additional information for Arkansas Dentistry And Braces, a provider established in Van Buren, Arkansas operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1013250984 assigned on March 2013. The practitioner's primary taxonomy code is 1223X0400X with license number 3465 (AR). The provider is registered as an organization and their NPI record was last updated 11 years ago. Arkansas Dentistry And Braces operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Arkansas Dentistry And Braces. The authorized official of this NPI record is Benjamin Burris Dds, Mds, Pa (Owner)

NPI
1013250984
Provider Legal Name
BETHEL BURRIS OLIVER PLLC
Other Organization Name
ARKANSAS DENTISTRY AND BRACES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2411 FAYETTEVILLE RD SUITE 42 VAN BUREN, AR 72956
Location Phone
(479) 471-5600
Location Fax
(479) 471-5601
Mailing Address
3782 N FRONT ST SUITE 1 FAYETTEVILLE, AR 72703
Mailing Phone
(479) 443-1705
Mailing Fax
(479) 471-5601
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2013
Last Update Date
03-03-2015
Code Navigator

A dentist like Arkansas Dentistry And Braces is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
License No.
3465
License State
AR
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

3339 (AR)
21223P0221XDental Providers

Dentist
Pediatric Dentistry

3460 (AR)
31223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

4013 (AR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BENJAMIN BURRIS DDS, MDS, PA

Authorized Official Title
OWNER
Authorized Official Phone
(479) 443-1705

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2087233
Facility Type
Physician Office
Certificate Effective Date
November 19, 2024
Certificate Expiration Date
November 18, 2026
Laboratory Director
DR. GARY L. MOFFITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Arkansas Dentistry And Braces to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013250984, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 5 + 0 + 9 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013250984.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
2411 FAYETTEVILLE RD, STE. C
VAN BUREN, AR 72956
Clinic/Center (Oral and Maxillofacial Surgery)
2411 FAYETTEVILLE RD, SUITE C
VAN BUREN, AR 72956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013250984, enumerated as an "organization" on March 29, 2013.

The provider is located at 2411 FAYETTEVILLE RD SUITE 42 VAN BUREN, AR 72956 and the phone number is (479) 471-5600.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.