NPIMap

Organization Active NPI

Dale E. Colclasure, D. D. S.

  • Dentist
  • North Little Rock, AR
National Provider Identifier
1194989087
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DALE E. COLCLASURE, D. D. S.
Practice address
2501 Crestwood Rd
Suite 103
North Little Rock, AR 72116-6864
Phone
(501) 758-3393
Fax
(501) 759-4346
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Dale E. ColclasureNPI 1427146364
Title
Owner/D.D.S.
Phone
(501) 758-3393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2501 Crestwood Rd
Suite 103
North Little Rock, AR 72116-6864

Mailing address

2501 Crestwood Rd
Suite 103
North Little Rock, AR 72116-6864
Phone (501) 758-3393

National Provider Directory

National Provider Directory

Locations

2501 Crestwood Rd
Ste 103
North Little Rock, AR 72116
Phone (501) 758-3393

Practitioners & affiliated clinicians

Practitioners 3

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": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1194989087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CRESTWOOD RD",
            "address_2": "SUITE 103",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166864",
            "telephone_number": "501-758-3393",
            "fax_number": "501-759-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CRESTWOOD RD",
            "address_2": "SUITE 103",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166864",
            "telephone_number": "501-758-3393",
            "fax_number": "501-759-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE E. COLCLASURE, D. D. S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "COLCLASURE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/D.D.S.",
        "authorized_official_telephone_number": "501-758-3393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.