HIGGINBOTHAM FAMILY DENTAL
NPI 1710005384
Dentist - General Practice in Blytheville, AR

NPI Status: Active since March 26, 2007

Contact Information

3922 E MAIN ST STE D
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 762-1331

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  • Organization
  • Dentist
  • General Practice

About HIGGINBOTHAM FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Higginbotham Family Dental, a provider established in Blytheville, Arkansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1710005384 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 3393 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Higginbotham Family Dental. The authorized official of this NPI record is Misti Ross (Ins Director)

NPI
1710005384
Provider Legal Name
HIGGINBOTHAM DENTAL GROUP, PLLC
Other Organization Name
HIGGINBOTHAM FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3922 E MAIN ST STE D BLYTHEVILLE, AR 72315
Location Phone
(870) 762-1331
Mailing Address
1804 OLD GREENSBORO RD BLDG B JONESBORO, AR 72405
Mailing Phone
(870) 336-3732
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
10-14-2020
Code Navigator

A dentist like Higginbotham Family Dental 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
3393
License State
AR
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

*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

MISTI ROSS

Authorized Official Title
INS DIRECTOR
Authorized Official Phone
(870) 336-3732

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
160743631MEDICAID (05)AR 

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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.
1710005384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27200010316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 0 + 0 + 1 + 0 + 3 + 1 + 6 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1710005384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619866910DR. PEYTON REED FAULKNER DDS
Individual
Dentist3922 E MAIN ST STE D
BLYTHEVILLE, AR 72315
(870) 762-1331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710005384, enumerated in the NPI registry as an "organization" on March 26, 2007

The provider is located at 3922 E Main St Ste D Blytheville, Ar 72315 and the phone number is (870) 762-1331

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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