Arkansas Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2203 Issued in AR

Legal business name

ARKANSAS PERIODONTAL ASSOCIATES

Practice address

10319 W. Markham St.
Suite 300
Little Rock, AR 72205-4556

Phone

(501) 224-1122

Fax

(501) 224-1990

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald Paul Callan, D.D.S.NPI 1336163542

Title

President

Phone

(501) 224-1122

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Paul Callan, D.D.S.

  • Periodontics
  • Little Rock, AR
  • NPI 1336163542
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265446165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 W. MARKHAM ST.",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054556",
            "telephone_number": "501-224-1122",
            "fax_number": "501-224-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10319 W. MARKHAM ST.",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054556",
            "telephone_number": "501-224-1122",
            "fax_number": "501-224-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-224-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "2203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58556",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkansas Pediatric Clinic, PLLC
• Arkansas Pediatric Dentistry
• Arkansas Pediatric Dentistry
• Arkansas Pelvic Health PLLC
• Arkansas Perinatal Services
• Arkansas Physicians Eyecare Group Campen, P.a.
• Arkansas Plastic Surgery, P.a.
• Arkansas Primary Care Clinics PA
• Arkansas Psychiatric Clinic Clinical Research Trials, PA
• Arkansas Psychiatric Clinic, Professional Association

• Periodontics in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Periodontics in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.