Organization Active NPI

Mary K Richards MD PA

  • Specialist
  • Little Rock, AR
National Provider Identifier
1164483426
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C5156 Issued in AR
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105120002MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.