KENNETH E PEARSON (NPI# 1689898850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689898850 |
| Entity Type | Individual |
| Full Name | KENNETH E PEARSON |
| Credential | DDS PA |
| Practice Address |
12921 Cantrell Rd Suite 200 Little Rock AR 72223 |
| Practice Telephone | 5012211200 |
| Practice Fax Number | 5012211326 |
| Mailing Telephone | 5012211200 |
| Mailing Fax Number | 5012211326 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2694 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CORDIA | 696033 | 01 | |
| AR | 111380608 | 05 | |
| BCBS | 56311 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720114077 | Kenneth Michael Pearson | Chiropractor | 529 N Hewitt, Ypsilanti, MI 48197 | 2007-02-23 |
| 1902189343 | Kenneth Ray Pearson | Pharmacist | 226 N Halleck St, Demotte, IN 46310-8633 | 2011-09-22 |
| 1679701023 | Kenneth Andrew Pearson | Emergency Medicine | 3200 Maccorkle Ave Se Ste B16, Charleston, WV 25304-1227 | 2009-06-24 |
| 1215029103 | Kenneth Randal Pearson | Pediatrics | 9880 Angies Way, Ste 400, Louisville, KY 40241-2850 | 2006-09-28 |
| 1376521252 | Kenneth Pearson | Psychologist | 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546 | 2006-01-03 |
| Street Address |
12921 CANTRELL RD SUITE 200 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215970785 | James Arden Tanner | Obstetrics & Gynecology | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1701 | 2006-06-13 |
| 1417373283 | Amber Smith | Clinical Nurse Specialist | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1713 | 2014-03-17 |
| 1568895548 | Centre @ 10 Dental Group | Dentist | 12921 Cantrell Rd, 301, Little Rock, AR 72223-1713 | 2013-08-14 |
| 1679912679 | Rachel L Baker | Dentist | 12921 Cantrell Rd, Suite 101, Little Rock, AR 72223-1713 | 2013-06-24 |
| 1871885079 | West Little Rock Womens Center Pa | Obstetrics & Gynecology | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1701 | 2011-05-05 |
| 1770641466 | Jami Smith | Nurse Practitioner | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1701 | 2006-12-05 |
| 1861568453 | Portia Lynn Pierce | Dental Assistant | 12921 Cantrell Rd, Suite 101, Little Rock, AR 72223 | 2006-11-27 |
| 1285729194 | Drake A Hawkins | Dentist | 12921 Cantrell Rd, Suite# 301, Little Rock, AR 72223-1701 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184838138 | George Bircham Morledge IIi | Dentist | 5 Office Park Drive, Suite 104, Little Rock, AR 72211-3865 | 2007-05-09 |
| 1871610857 | Kenneth E Pearson Dds Pa | Dentist | 12921 Cantrell Rd Suite 200, Little Rock, AR 72223 | 2007-03-23 |
| 1275616922 | James A Penney IIi | Dentist | 13239 Cantrell Road, Suite B, Little Rock, AR 72223-1608 | 2006-10-23 |
| 1275582801 | Stephen W. Boatright | Dentist | 11700 Cantrell Rd, Suite 1, Little Rock, AR 72223-1705 | 2006-05-10 |
| 1215375407 | Endodontic Associates | Dentist | 1225 Breckenridge Dr, Ste 203, Little Rock, AR 72205-1558 | 2013-06-10 |
| 1366636748 | Brad Bryan, Dmd, Pa | Dentist | 2000 S University Ave, Little Rock, AR 72204 | 2007-08-29 |
| 1912100322 | Stephen W. Boatright, Dds, Pa | Dentist | 11700 Cantrell Rd, Suite 1, Little Rock, AR 72223-1705 | 2007-06-06 |
| 1730255183 | Bruce F Mitchell | Dentist | 500 S University Ave, Suite 511, Little Rock, AR 72205-5302 | 2006-11-28 |
| 1760492953 | Amir Hossein Mehrabi | Dentist | 1225 Breckenridge Dr, Suite 203, Little Rock, AR 72205-1558 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004291 | Drs. Nathaniel and Katherine Behrents Dds PC | Dentist | 800 Se Plaza Ave, Suite 2, Bentonville, AR 72712-7270 | 2019-07-11 |
| 1710441050 | Hot Springs Endodontics Bruce A Gaston Dds Pllc Bruce A Gaston Sole Mb | Dentist | 1911 Malvern Ave Ste A, Hot Springs, AR 71901-7753 | 2019-01-30 |
| 1922523091 | Jamey C. Tinnin D.d.s. Endodontics Ltd | Dentist | 1680 E Joyce Blvd, Fayetteville, AR 72703-6214 | 2017-08-09 |
| 1285033621 | John David Williams | Dentist | 5305 W Village Pkwy Ste 12, Rogers, AR 72758-8116 | 2014-08-21 |
| 1881898039 | Coy Macarthur Boyd Jr. | Dentist | 2516b Alexander Dr, Jonesboro, AR 72401-7175 | 2007-06-12 |
| 1265635676 | Candice Harper Perry | Dentist | 203 N 24th St Ste D, Rogers, AR 72756-3206 | 2007-06-06 |
| 1760537450 | Pinnacle Hills Dental Group | Dentist | 811 Se 28th St., Ste #7, Bentonville, AR 72712 | 2007-01-24 |
| 1265583066 | Bruce A Gaston | Dentist | 1911 Malvern Ave., Suite A, Hot Springs, AR 71901 | 2007-01-16 |
| 1598812224 | Calvin B. Suffridge, Dds, Pa | Dentist | 8 Parkstone Cir, Suite B, North Little Rock, AR 72116-7086 | 2007-01-04 |
| 1437225232 | Larry Allen Gartman | Dentist | 203 North 24th Street, Suite D, Rogers, AR 72756 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
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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.