Active NPI
Horizon Dental Group LLC
- General Practice Dentistry
- Bryant, AR
National Provider Identifier
1104282797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2385
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210602631 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bridgeport, WV
- NPI 1881116317
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.