Individual provider Active NPI

T. Kerry McAlister, D.D.S.

  • Dentist
  • Huntsville, AR
National Provider Identifier
1538288907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
AR2586 Issued in AR
Practice address
945 N Gaskill St
Suite 1
Huntsville, AR 72740-8966
Phone
(479) 738-2580
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X AR2586 AR Primary

Addresses

Primary practice location

945 N Gaskill St
Suite 1
Huntsville, AR 72740-8966

Mailing address

945 N Gaskill St
Suite 1
Huntsville, AR 72740-8966
Phone (479) 738-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629003133 AR Order and Referring Only - DentistPractitioner - Dentist 7012209638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AR2586ARMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538288907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N GASKILL ST",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408966",
            "telephone_number": "479-738-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N GASKILL ST",
            "address_2": "SUITE 1",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408966",
            "telephone_number": "479-738-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALISTER",
        "first_name": "T. KERRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "AR2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AR

Sources for this page

Verify at the official NPI Registry.