John Douglas Pate, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4235 Issued in AR

Practice address

1001 S Bowman Rd Ste 1
Little Rock, AR 72211-3710

Phone

(501) 222-9101

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• BP Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1942736285
  NPD (past)
• Small Bites

  • Pediatric Dentistry
  • Little Rock, AR
  • NPI 1336620020
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1801328240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11324 ROCKY VALLEY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123032",
            "telephone_number": "501-831-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BOWMAN RD STE 1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113710",
            "telephone_number": "501-222-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Tennessee",
            "address_2": "920 Madison Avenue Suite 447",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-448-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "4235",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4235",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Passion Unlimited, LLC
• Passport Health Holdings, LLC
• Evgeniya Pasternak, MD
• Kefrain Manuel Pastrana
• Rebekah Patchin, LCSW
• Kimball Bradley Pate II, D.O.
• Tracy Bair Pate, M.S.
• Aneri Patel, OTR/L
• Anjali A Patel, MD
• Ashay Patel, D.O.

• Pediatric Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.