Organization Active NPI

Dental Health Center of Arkansas, P.a.

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1043384381
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH CENTER OF ARKANSAS, P.A.
Practice address
2550 Main St
North Little Rock, AR 72114-2316
Phone
(501) 812-4949
Fax
(501) 812-4994
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Raed S. Musallam, D.D.S.NPI 1891877544
Title
Dentist
Phone
(501) 812-4949

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X AR Primary

Addresses

Primary practice location

2550 Main St
North Little Rock, AR 72114-2316

Mailing address

2550 Main St
North Little Rock, AR 72114-2316
Phone (501) 812-4949

National Provider Directory

National Provider Directory

Locations

2550 Main St
North Little Rock, AR 72114
Phone (501) 812-4949

Practitioners & affiliated clinicians

Practitioners 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1043384381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142316",
            "telephone_number": "501-812-4949",
            "fax_number": "501-812-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142316",
            "telephone_number": "501-812-4949",
            "fax_number": "501-812-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CENTER OF ARKANSAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "MUSALLAM",
        "authorized_official_first_name": "RAED",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-812-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.