Active NPI
Mary K Richards MD PA
- Specialist
- Little Rock, AR
National Provider Identifier
1164483426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C5156
- Legal business name
- MARY K RICHARDS MD PA
- Practice address
- 5800 W 10TH St
Suite 600
Little Rock, AR 72204-1755 - Phone
- (501) 666-5000
- NPI assigned
- Mar 28, 2006
- Last updated
- Sep 28, 2007
- 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. Mary K Richards
- Title
- Owner
- Phone
- (501) 666-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C5156 | AR | Primary |
Addresses
Primary practice location
5800 W 10TH St
Suite 600
Little Rock, AR 72204-1755
Mailing address
5800 W 10TH St
Suite 600
Little Rock, AR 72204-1755
Phone (501) 666-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105120002 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
5800 W 10th St
Ste 600
Little Rock, AR 72204
Phone (501) 660-6817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1164483426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 W 10TH ST",
"address_2": "SUITE 600",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041755",
"telephone_number": "501-666-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W 10TH ST",
"address_2": "SUITE 600",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041755",
"telephone_number": "501-666-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY K RICHARDS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-666-5000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "C5156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105120002",
"state": "AR"
}
],
"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 Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.