Individual provider Active NPI

David Lawrence Elwood Rath, MA, RD, LD

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1043597040
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
307 Issued in AR
Practice address
2100 Broadway St Ste 101
Suite 101
Little Rock, AR 72206-1363
Phone
(501) 975-3662
Fax
(501) 508-6553
NPI assigned
Nov 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 307 AR Primary

Addresses

Primary practice location

2100 Broadway St Ste 101
Suite 101
Little Rock, AR 72206-1363

Mailing address

2100 Broadway St Ste 101
Little Rock, AR 72206-1363
Phone (501) 975-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000065 AR Practitioner - Registered Dietitian Or Nutrition Professional 4880852458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Broadway St
Suite 101
Little Rock, AR 72206-1363
Phone (501) 975-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
David Rath Nutrition, Inc. Dietitian, Registered CurrentSince Apr 1, 2012 Accepting new patients

Locations

2100 Broadway St
Ste 101
Little Rock, AR 72206
Phone (501) 975-3662

401 W Capitol Ave
Ste 301
Little Rock, AR 72201
Phone (501) 975-0009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1043597040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BROADWAY ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061363",
            "telephone_number": "501-975-3662",
            "fax_number": "501-508-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROADWAY ST STE 101",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061363",
            "telephone_number": "501-975-3662",
            "fax_number": "501-508-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATH",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE ELWOOD",
        "name_prefix": "Mr.",
        "credential": "MA, RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-04",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.