Charles a Redmond DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2264 Issued in AR

Legal business name

CHARLES A REDMOND DDS, PA

Practice address

4137 JFK Blvd
North Little Rock, AR 72116-8264

Phone

(501) 753-5594

Fax

(501) 753-5880

NPI assigned

Jun 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles A Redmond, DDSNPI 1770643678

Title

President

Phone

(501) 753-5594

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Charles A Redmond Jr., DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Little Rock, AR
  • NPI 1770643678
  NPD (past) Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1558597310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168264",
            "telephone_number": "501-753-5594",
            "fax_number": "501-753-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168264",
            "telephone_number": "501-753-5594",
            "fax_number": "501-753-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A REDMOND DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-753-5594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159088608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Michael Chandler
• Bonnie Harland Chandler, PHARMD
• Jimmy C Chang, MD
• Jonathan Nicholas Chang, M.D.
• Theodore Chang, MD
• Chase C. Diemer DDS PLLC
• Karen M. Chase, M.D.
• Makyra Chatman
• Chayim Kavanah Wellness LLC
• John T Cheairs, MD

• Dental Clinic/Center in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.