Maumelle Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2244 Issued in AR

Legal business name

MAUMELLE FAMILY DENTISTRY

Practice address

1701 Club Manor Dr Ste 4
Maumelle, AR 72113-7401

Phone

(501) 851-1414

Fax

(501) 851-6036

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard H Lewis, D.M.D.

Title

Dentist

Phone

(501) 851-1414

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1851633978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CLUB MANOR DR STE 4",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137401",
            "telephone_number": "501-851-1414",
            "fax_number": "501-851-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLUB MANOR DR STE 4",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137401",
            "telephone_number": "501-851-1414",
            "fax_number": "501-851-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMELLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-851-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104718608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maje Home Care Agency
• Maumelle Alf Opco LLC (Chapters Living of Maumelle)
• Maumelle Chiropractic Inc
• Maumelle Eye Care
• Maumelle Family Dental Care (Keith W. Smith, D.D.S.)
• Maumelle Family Dentistry, PLLC
• Maumelle Family Medicine, LLC
• Maumelle Family Pharmacy LLC
• Maumelle Family Pharmacy LLC
• Maumelle Health Services, LLC (Maumelle Health & Rehab)

• General Practice Dentistry in Maumelle, AR
• Providers in Maumelle, 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 27, 2013; 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.