Active NPI
Ricky L Price DDS PA
- General Practice Dentistry
- Wynne, AR
National Provider Identifier
1073527990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2801
- Legal business name
- RICKY L PRICE DDS PA
- Practice address
- 311 Merriman Ave E
Wynne, AR 72396-2945 - Phone
- (870) 238-9190
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricky Price, DDS
- Title
- Owner
- Phone
- (870) 238-9190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2801 | AR | Primary |
Addresses
Primary practice location
311 Merriman Ave E
Wynne, AR 72396-2945
Mailing address
311 Merriman Ave E
Wynne, AR 72396-2945
Phone (870) 238-9190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110222 | Other | AR | UNITED CONCORDIA |
| 58029 | Other | AR | BLUE CROSS BLUE SHEILD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073527990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 MERRIMAN AVE E",
"city": "WYNNE",
"state": "AR",
"postal_code": "723962945",
"telephone_number": "870-238-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MERRIMAN AVE E",
"city": "WYNNE",
"state": "AR",
"postal_code": "723962945",
"telephone_number": "870-238-9190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICKY L PRICE DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "RICKY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-238-9190",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "110222",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "58029",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynne, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.