NPIMap

Organization Active NPI

Patricia Morales, DDS PA

  • Dental Clinic/Center
  • Rogers, AR
National Provider Identifier
1891909107
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
836 Issued in AR
Legal business name
PATRICIA MORALES, DDS PA
Practice address
200 N 24TH St
Rogers, AR 72756-3591
Phone
(479) 636-2100
Fax
(479) 636-2110
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Thelma P Morales, DDS
Title
President
Phone
(479) 636-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 836 AR Primary

Addresses

Primary practice location

200 N 24TH St
Rogers, AR 72756-3591

Mailing address

200 N 24TH St
Rogers, AR 72756-3591
Phone (479) 636-2100

Other identifiers 1

IdentifierTypeStateIssuer
16084631MedicaidAR

National Provider Directory

National Provider Directory

Locations

200 N 24th St
Rogers, AR 72756
Phone (479) 636-2100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1891909107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563591",
            "telephone_number": "479-636-2100",
            "fax_number": "479-636-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563591",
            "telephone_number": "479-636-2100",
            "fax_number": "479-636-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MORALES, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-636-2100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16084631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.