Active NPI
Alex Abbott, DDS
- General Practice Dentistry
- Little Rock, AR
National Provider Identifier
1003554973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4615
- Practice address
- 4301 W Markham St # 624
Little Rock, AR 72205-7199 - Phone
- (501) 526-7619
- NPI assigned
- May 21, 2022
- Last updated
- Dec 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4615 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St # 624
Little Rock, AR 72205-7199
Mailing address
3012 N Hills Blvd Apt 4217
North Little Rock, AR 72116-9446
Phone (501) 520-1472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220802001872 | TX | Order and Referring Only - Dentist | 7416339833 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4615 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1003554973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 N HILLS BLVD APT 4217",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721169446",
"telephone_number": "501-520-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 624",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057199",
"telephone_number": "501-526-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "ALEX",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-21",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
- Aaa Therapy Care
- Aaa Therapy Care Inc. (Full Potential Child Development Center)
- ABA Plustherapy, LLC
- Sherry Shenoda Nazer Abader
- Monica Abandoh-Sam, MD
- Elizabeth Faulkner Abbott, LCSW
- Abc Home Medical Supply, Inc.
- Abc Medical Solutions, PLLC
- Abc Therapy Connections LLC
- Abdalla a. Tahiri, M.D.,P.a. (Little Rock Gastroenterology Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.