Richard Thomas Phelan, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3382 Issued in AR

Practice address

1801 Rahling Rd Ste 101
Little Rock, AR 72223-4777

Phone

(501) 224-6535

Fax

(501) 224-8652

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Phelan Orthodontics, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
  • NPI 1508988585

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1306934583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RAHLING RD STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234777",
            "telephone_number": "501-224-6535",
            "fax_number": "501-224-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RAHLING RD STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234777",
            "telephone_number": "501-224-6535",
            "fax_number": "501-224-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie B Phelan, MD
• David A Phelan, MD
• James T Phelan, DDS
• Natalie Elise Phelan, MD
• Patrick S Phelan, MD
• Eric I Phelps, PHD, LCSW, CGP
• Kayla Phelps, MHPP
• Philander Smith University
• Robert Phillips-Cosio
• Tiffany Phillips-Peters

• All providers in Little Rock, AR
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.