Ralph A Teed Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3714 Issued in AR

Practice address

1200 McLain St
Newport, AR 72112-3534

Phone

(870) 523-6555

Fax

(870) 523-6222

NPI assigned

Jun 22, 2009

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

Enrolled in AR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1902033558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120745",
            "telephone_number": "870-523-6555",
            "fax_number": "870-523-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123534",
            "telephone_number": "870-523-6555",
            "fax_number": "870-523-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEED",
        "first_name": "RALPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ashley Stevens
• Karla Beth Stoner
• Adam Sutterfield, CRNA
• T-Lynn Inc.
• Tasker N. Rodman, II
• Ralph A Teed, D.D.S.,P.A
• The Arkansas Center for Independence, Inc.
• Casheba Thirkill-Dicus
• Trenton Thomas
• Brandi Michelle Toddy

• General Practice Dentistry in Newport, AR
• Providers in Newport, 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 Jun 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.