Active NPI
Dr. Joseph M. Mazurek, Inc
- Pediatric Dentistry
- Little Rock, AR
National Provider Identifier
1669098208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- DR. JOSEPH M. MAZUREK, INC
- Practice address
- 6500 Baseline Rd
Little Rock, AR 72209-4732 - Phone
- (501) 568-4733
- Fax
- (501) 568-4700
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teresa L Mazurek
- Title
- Office Manager
- Phone
- (501) 568-4733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
6500 Baseline Rd
Little Rock, AR 72209-4732
Mailing address
6500 Baseline Rd
Little Rock, AR 72209-4732
Phone (501) 568-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112152608 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
6500 Baseline Rd
Little Rock, AR 72209
Phone (501) 568-4733
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Little Rock, AR
- NPI 1730283334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1669098208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722094732",
"telephone_number": "501-568-4733",
"fax_number": "501-568-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722094732",
"telephone_number": "501-568-4733",
"fax_number": "501-568-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JOSEPH M. MAZUREK, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "MAZUREK",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "501-568-4733",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112152608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Dr Q Pain & Spine Clinic, PA
- Dr. Beverly J. Foster, PA (Chiropractic Health & Rehabilitation)
- Dr. Dan Ballenger
- Dr. John's Consultations and Solutions
- Dr. John's Consultations and Solutions
- Dr. Perry Amerine, Optometric Physician
- Dr. Perry Lee Amerine, PA
- Dr. Shirley Reid, DDS
- Dr. Sophear Seng, LLC
- Dr. William G. Carbary, D.C., PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.