NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP
NPI 1508889478
Dentist - Pediatric Dentistry in North Little Rock, AR

NPI Status: Active since July 25, 2006

Contact Information

4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 771-2990
Fax: (501) 758-0408

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  • Organization
  • Dentist
  • Pediatric Dentistry

About NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP

This page provides the complete NPI Profile along with additional information for North Little Rock Pediatric Dental Group, a provider established in North Little Rock, Arkansas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1508889478 assigned on July 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 2793 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. North Little Rock Pediatric Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as North Little Rock Pediatric Dental Group. The authorized official of this NPI record is Dr. Mark E Wilson Dds Ms (Co Owner)

NPI
1508889478
Provider Legal Name
G FRIEND DDS MS & M WILSON DDS MS PA
Other Organization Name
NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4605 FAIRWAY AVE NORTH LITTLE ROCK, AR 72116
Location Phone
(501) 771-2990
Location Fax
(501) 758-0408
Mailing Address
4605 FAIRWAY AVE NORTH LITTLE ROCK, AR 72116
Mailing Phone
(501) 771-2990
Mailing Fax
(501) 758-0408
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like North Little Rock Pediatric Dental Group 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.

Location Map

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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
2793
License State
AR
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

2817 (AR)
21223P0221XDental Providers

Dentist
Pediatric Dentistry

2700 (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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. MARK E WILSON DDS MS

Authorized Official Title
CO OWNER
Authorized Official Phone
(501) 771-2990

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5B771OTHER (01)ARBCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508889478
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250816818414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 8 + 1 + 8 + 4 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1508889478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. MARK EDWARD WILSON DDS MS

Dentist

(Pediatric Dentistry)

4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR
ZIP 72116

(501) 771-2990

PDG DENTAL GROUP PLLC

Dentist

(Pediatric Dentistry)

4605 FAIRWAY AVE
NORTH LITTLE ROCK, AR
ZIP 72116

(501) 771-2990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508889478, enumerated as an "organization" on July 25, 2006.

The provider is located at 4605 FAIRWAY AVE NORTH LITTLE ROCK, AR 72116 and the phone number is (501) 771-2990.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.