Active NPI
Richard Keeter Toland, DDS
- General Practice Dentistry
- Wynne, AR
National Provider Identifier
1194809517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2262
- Practice address
- 2100 North Killough
Wynne, AR 72396 - Phone
- (870) 238-0400
- Fax
- (870) 238-0417
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2262 | AR | Primary |
Addresses
Primary practice location
2100 North Killough
Wynne, AR 72396
Mailing address
2100 North Killough
Wynne, AR 72396
Phone (870) 238-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102049608 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2262 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toland Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Wynne, AR
- NPI 1871822163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1194809517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NORTH KILLOUGH",
"city": "WYNNE",
"state": "AR",
"postal_code": "72396",
"telephone_number": "870-238-0400",
"fax_number": "870-238-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NORTH KILLOUGH",
"city": "WYNNE",
"state": "AR",
"postal_code": "72396",
"telephone_number": "870-238-0400",
"fax_number": "870-238-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAND",
"first_name": "RICHARD",
"middle_name": "KEETER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102049608",
"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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.