NPIMap

Organization Active NPI

Phelan Orthodontics, PA

Doing business as Phelan Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Rock, AR
National Provider Identifier
1508988585
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PHELAN ORTHODONTICS, PA
Doing business as
Phelan Orthodontics
Practice address
1801 Rahling Rd Ste 101
Little Rock, AR 72223-4777
Phone
(501) 224-6535
NPI assigned
Apr 3, 2007
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Dr. Richard T Phelan, DDS, MSNPI 1306934583
Title
Owner
Phone
(501) 224-6535

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

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

Mailing address

1801 Rahling Rd Ste 101
Little Rock, AR 72223-4777
Phone (501) 224-6535

Other practice location 1

1225 Breckenridge Dr
Suite 101
Little Rock, AR 72205-1558
Phone (501) 224-6535

Other names 1

  • PHELAN ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

1225 Breckenridge Dr
Ste 101
Little Rock, AR 72205
Phone (501) 224-6535

1801 Rahling Rd
Ste 101
Little Rock, AR 72223
Phone (501) 224-6535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1508988585",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Breckenridge Dr",
            "address_2": "SUITE 101",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722051558",
            "country_code": "US",
            "telephone_number": "501-224-6535",
            "fax_number": "501-224-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHELAN ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-224-6535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHELAN ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHELAN ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 4, 2021; 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.