DR. BRADLEY RAY CROSSFIELD (NPI# 1326487737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326487737 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY RAY CROSSFIELD |
| Credential | D.D.S. |
| Practice Address |
1001 S Bowman Road Ste 1 Little Rock AR 72211 |
| Practice Telephone | 5012229101 |
| Mailing Telephone | 5012229101 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 3923 | AR | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3923 | AR | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30773 | TX | Dental Providers |
| Street Address |
1001 S BOWMAN ROAD STE 1 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098208 | Dr. Joseph M. Mazurek, Inc | Dentist | 6500 Baseline Rd, Little Rock, AR 72209-4732 | 2020-06-19 |
| 1386849362 | Cara Janique Jones | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2007-06-19 |
| 1013127505 | Bryan Keith Angel | Dentist | 300 S Rodney Parham Rd Ste 3, Little Rock, AR 72205-4774 | 2007-05-23 |
| 1992854558 | Michael Anthony Kitchens | Dentist | 14114 Taylor Loop Rd, Little Rock, AR 72223 | 2007-01-10 |
| 1730283334 | Joseph M Mazurek | Dentist | 6500 Baseline Road, Little Rock, AR 72209 | 2006-09-12 |
| 1336620020 | Small Bites | Dentist | 1001 S Bowman Rd Ste 1, Little Rock, AR 72211-3710 | 2018-08-22 |
| 1437601788 | Apex Dental Partners Pllc | Dentist | 1701 Centerview Dr, Suite 114, Little Rock, AR 72211-4308 | 2016-11-02 |
| 1174949622 | Arkansas Pediatric Dentistry | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2014-03-07 |
| 1003258245 | Arkansas Pediatric Dentistry | Dentist | 5905 W 12th St, Little Rock, AR 72204-1608 | 2013-07-29 |
| 1649591256 | Brandon Jeffrey Kitchens | Dentist | 14114 Taylor Loop Rd, Little Rock, AR 72223-4308 | 2010-06-17 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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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.