Organization Active NPI

Foot & Ankle Associates of Central Arkansas, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Little Rock, AR
National Provider Identifier
1043383706
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
167 Issued in AR
Legal business name
FOOT & ANKLE ASSOCIATES OF CENTRAL ARKANSAS, PLLC
Practice address
4200 N Rodney Parham Rd Ste 100
Little Rock, AR 72212-2458
Phone
(501) 534-8888
Fax
(501) 534-8891
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Dr. Richard Alex Dellinger, DPMNPI 1407814940
Title
Podiatrist
Phone
(501) 534-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 167 AR Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 112 AR

Addresses

Primary practice location

4200 N Rodney Parham Rd Ste 100
Little Rock, AR 72212-2458

Mailing address

4200 N Rodney Parham Rd Ste 100
Little Rock, AR 72212-2458
Phone (501) 534-8888

Other identifiers 4

IdentifierTypeStateIssuer
P00035400OtherARRAILROAD MEDICARE
150024748MedicaidAR
P00011743OtherARRAILROAD MEDICARE
DA2254OtherARRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930045043 AR DME Supplier - Physician - Podiatry 4486860608 Practice locations: Little Rock, AR
O20110215000931 AR Part B Supplier - Clinic/Group Practice 4486860608 Receives reassigned benefits from 7 practitioners
Practice locations: Hot Springs, AR; Little Rock, AR

National Provider Directory

National Provider Directory

Locations

15506 Highway 5
Ste H
Cabot, AR 72023

3065 Highway 367 S
Ste 11
Cabot, AR 72023
Phone (501) 941-3797

1501 N University Ave
Ste 552
Little Rock, AR 72207

2400 Crestwood Rd
Ste 101
North Little Rock, AR 72116
Phone (501) 791-3450

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1043383706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122458",
            "telephone_number": "501-534-8888",
            "fax_number": "501-534-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N RODNEY PARHAM RD STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122458",
            "telephone_number": "501-534-8888",
            "fax_number": "501-534-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE ASSOCIATES OF CENTRAL ARKANSAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "501-534-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "167",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00035400",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150024748",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00011743",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA2254",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.