MR. TRACY T WINDHAM (NPI# 1194834804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834804 |
| Entity Type | Individual |
| Full Name | MR. TRACY T WINDHAM |
| Credential | DDS |
| Practice Address |
5500 West Markham St Little Rock AR 72205 |
| Practice Telephone | 5016646888 |
| Practice Fax Number | 5016642691 |
| Mailing Telephone | 5016646888 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | AR 2907 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750645545 | Tracy Rochelle Windham | Registered Nurse | 2100 W White Street, Suite 150, Anna, TX 75409 | 2012-06-27 |
| Street Address |
5500 WEST MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711227 | Dentalways of Little Rock Pllc | Dentist | 1415 Breckenridge Dr Ste D, Little Rock, AR 72227-4864 | 2020-02-12 |
| 1053829887 | Yin Hildesheim, Dmd, P.a. | Dentist | 10912 Colonel Glenn Rd Ste 3500, Little Rock, AR 72204-8241 | 2018-01-15 |
| 1801328240 | John Douglas Pate | Dentist | 1001 S Bowman Rd Ste 1, Little Rock, AR 72211-3710 | 2017-04-03 |
| 1588010433 | Wesley David Buchman | Dentist | 10319 W Markham St Ste 600, Little Rock, AR 72205-4559 | 2016-05-10 |
| 1831567189 | Yin Hildesheim | Dentist | 28 Bella Rosa Ct, Little Rock, AR 72223-4548 | 2015-09-03 |
| 1487031969 | Jackie L. Smith, Dds, Pllc | Dentist | 6315 Ranch Dr., Little Rock, AR 72223-0000 | 2015-05-04 |
| 1629461884 | Hd Dental, Pa Dba Smile Dental | Dentist | 14810 Cantrell Rd, Little Rock, AR 72223-4244 | 2015-03-12 |
| 1710393517 | Chase Conway Diemer | Dentist | 15208 Bauch Ln, Little Rock, AR 72206-5787 | 2014-07-01 |
| 1588087993 | Austin Family Dentisty of Little Rock | Dentist | 11211 Cantrell Rd, Ste 200, Little Rock, AR 72212-1819 | 2014-01-22 |
| 1720417314 | Summit Dental, Inc. | Dentist | 12120 Col Glenn Rd, Suite 6600, Little Rock, AR 72210-2824 | 2013-11-05 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.