Organization Active NPI

Cantrell Family Dental Center

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1215443577
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CANTRELL FAMILY DENTAL CENTER
Practice address
8116 Cantrell Rd Ste C
Little Rock, AR 72227-2502
Phone
(501) 227-5100
NPI assigned
Dec 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Chad D Matone, DDS
Title
Owner/Dentist
Phone
(501) 205-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8116 Cantrell Rd Ste C
Little Rock, AR 72227-2502

Mailing address

PO Box 241785
Little Rock, AR 72223-0014
Phone (501) 205-1084

National Provider Directory

National Provider Directory

Locations

8116 Cantrell Rd
Ste C
Little Rock, AR 72227
Phone (501) 227-5100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1215443577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241785",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230014",
            "telephone_number": "501-205-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 CANTRELL RD STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272502",
            "telephone_number": "501-227-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTRELL FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MATONE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "501-205-1084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 15, 2019; 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.