Richard Gregory Elimon, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2606 Issued in AR

Practice address

2504Mecain
202
North Little Rock, AR 72116

Phone

(501) 771-7600

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral Surgery of Central Arkansas

  • Oral and Maxillofacial Surgery (Dentist)
  • North Little Rock, AR
  • NPI 1245829027
  NPD
• Oral Surgery of Central Arkansas

  • Oral and Maxillofacial Surgery Clinic/Center
  • North Little Rock, AR
  • NPI 1124491733
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003903287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKETREELANE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-833-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504MECAIN",
            "address_2": "202",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-771-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIMON",
        "first_name": "RICHARD",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara C Eggers, SLP
• Robin G Eiler, DDS
• Mary Moore Ekdahl, PHD
• Margaret Ann Eldred, RD, LD
• Ahmed Elfituri
• Darrell Eliott
• Elite Mobile Health Services, LLC
• Sara Eller, PT
• Shannon Lee Elliott, LPN
• Thaiza Ellis-Vorabouth

• Oral and Maxillofacial Surgery (Dentist) in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.