Eric K. Mathis, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ERIC K. MATHIS, DDS

Practice address

26 Green Valley Dr
Mountain Home, AR 72653-8102

Phone

(870) 425-6911

Fax

(870) 425-0699

NPI assigned

Nov 12, 2020

Last updated

Nov 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pam K Flock

Title

Office Manager

Phone

(870) 425-6911

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Eric Kamaal Mathis, D.D.S.

  • General Practice Dentistry
  • Mountain Home, AR
  • NPI 1043396823
  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1639771827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-425-6911",
            "fax_number": "870-425-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-425-6911",
            "fax_number": "870-425-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC K. MATHIS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "FLOCK",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-425-6911"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dentalclinic@centurytel.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26 Green Valley Dr",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726538102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Nicole Elumbaugh
• Encompass Therapy Co.
• Nellie Engeler, LPC
• Garrett English, PHARMD
• Envy Infusion Lounge, LLC
• Katrina Estep, MHPP
• Aaron Ray Estes, PHYSICAL THERAPIST
• Ethan Joseph Wright, M.D., P.a.
• Justin Eubanks, COTA
• Scott Eubanks

• Dental Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, 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 Nov 12, 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.