Dalton Dailey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR3224 Issued in AR

Practice address

17200 Chenal Pkwy Ste 250
Little Rock, AR 72223-5958

Phone

(501) 448-0032

Fax

(501) 448-0068

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 9, 2016 through May 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dalton James Dailey, III DDS PA

  dba Chenal Dental

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1285879056
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1790848497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY",
            "address_2": "STE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235944",
            "telephone_number": "501-448-0032",
            "fax_number": "501-448-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CHENAL PKWY STE 250",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235958",
            "telephone_number": "501-448-0032",
            "fax_number": "501-448-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR3224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darynne Angelique Dahlem, MD
• Vikki Elizabeth Dahmen-Jones, LCSW
• Thanh Thanh Dai, MD
• Carley Daigle
• Morris David Dail, CRNA
• Katie M Dailey, PT
• Knya Dailey
• Melissa Paige Dailey, MD
• Joshua A Daily, M.D.
• Marcus Daily, MHPP

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.