TACY MARIE SUNDELL DDS
NPI 1689687584
Dentist - Periodontics in Little Rock, AR

Q: What is Tacy Sundell's NPI number?

The NPI number for Tacy Sundell is 1689687584. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Tacy Sundell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Tacy Sundell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2006PECOS Enrolled

11300 CANTRELL RD STE 303, LITTLE ROCK, AR 72212(501) 228-5700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Tacy Marie Sundell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TACY MARIE SUNDELL DDS (NPI 1689687584) is an individual periodontics provider in Little Rock, Arkansas, licensed in Arkansas (3352) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689687584

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameTACY MARIE SUNDELLCredential: DDS

Location Address11300 CANTRELL RD STE 303Little Rock, AR 72212-1844

Mailing Address11300 Cantrell Rd Ste 303Little Rock, AR 72212-1844 · (501) 228-5700

Phone(501) 228-5700

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689687584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in AR · 3352

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

11300 CANTRELL RD STE 303, Little Rock, AR 72212

Open in Google Maps ↗

Other Identifiers 3

Other1493112AR · United Concordia

Other5X406AR · Blue Cross Provider Numbe

Other421591182AR · Tax Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tacy Marie Sundell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERNEST STANLEY WOODARD DDS

Dentist (Oral and Maxillofacial Surgery)

11300 CANTRELL RD STE 303
LITTLE ROCK, AR 72212

Pulaski County (501) 228-5700

DRS. WOODARD & SUNDELL, DDS, PA

Dentist (Oral and Maxillofacial Pathology)

11300 CANTRELL RD STE 303
LITTLE ROCK, AR 72212

Pulaski County (501) 228-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tacy Sundell's NPI number?

The NPI number for Tacy Sundell is 1689687584. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Tacy Sundell located?

Tacy Sundell practices at 11300 Cantrell Rd Ste 303, Little Rock, AR 72212. The listed phone number is (501) 228-5700.

What is Tacy Sundell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Tacy Sundell enrolled in Medicare?

Yes. Tacy Sundell is registered in the Medicare PECOS enrollment system.

What insurance does Tacy Sundell accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Tacy Sundell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tacy Sundell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.