Organization Active NPI

Horizon Dental Group LLC

  • General Practice Dentistry
  • Bryant, AR
National Provider Identifier
1104282797
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2385 Issued in AR
Legal business name
HORIZON DENTAL GROUP LLC
Practice address
2900 Horizon Dr
Suite 13
Bryant, AR 72022-9058
Phone
(501) 847-5437
Fax
(501) 847-5439
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Richard A Cain, D.D.S.
Title
Owner/ President
Phone
(501) 847-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2385 AR Primary

Addresses

Primary practice location

2900 Horizon Dr
Suite 13
Bryant, AR 72022-9058

Mailing address

2900 Horizon Dr
Suite 13
Bryant, AR 72022-9058
Phone (501) 847-5437

Other identifiers 1

IdentifierTypeStateIssuer
210602631MedicaidAR

National Provider Directory

National Provider Directory

Locations

2900 Horizon Dr
Ste 13
Bryant, AR 72022
Phone (501) 653-2020

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1104282797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HORIZON DR",
            "address_2": "SUITE 13",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229058",
            "telephone_number": "501-847-5437",
            "fax_number": "501-847-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HORIZON DR",
            "address_2": "SUITE 13",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229058",
            "telephone_number": "501-847-5437",
            "fax_number": "501-847-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "501-847-5437",
        "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": "2385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210602631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.