Organization Active NPI

C. M. Risk, D.D.S.

  • General Practice Dentistry
  • Mountain Home, AR
National Provider Identifier
1851592919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2305 Issued in AR
Legal business name
C. M. RISK, D.D.S.
Practice address
400 S College St
Suite #4
Mountain Home, AR 72653-3923
Phone
(870) 425-4777
Fax
(870) 425-6345
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. C. Michael Risk, D.D.S.
Title
Owner
Phone
(870) 425-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2305 AR Primary

Addresses

Primary practice location

400 S College St
Suite #4
Mountain Home, AR 72653-3923

Mailing address

400 S College St
Suite #4
Mountain Home, AR 72653-3923
Phone (870) 425-4777

National Provider Directory

National Provider Directory

Locations

400 S College St
Ste 4
Mountain Home, AR 72653
Phone (870) 425-4777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851592919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COLLEGE ST",
            "address_2": "SUITE #4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533923",
            "telephone_number": "870-425-4777",
            "fax_number": "870-425-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLLEGE ST",
            "address_2": "SUITE #4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533923",
            "telephone_number": "870-425-4777",
            "fax_number": "870-425-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. M. RISK, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RISK",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.