Active NPI
Senior Dental Care LLC.
- Health Maintenance Organization
- Little Rock, AR
National Provider Identifier
1902105984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 2534
- Legal business name
- SENIOR DENTAL CARE LLC.
- Practice address
- 25 Rahling Cir Ste C
Little Rock, AR 72223-9194 - Phone
- (501) 821-2214
- Fax
- (150) 182-1224
- NPI assigned
- Mar 16, 2011
- Last updated
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chad Matone, D.D.S.
- Title
- Doctor
- Phone
- (501) 821-2214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 2534 | AR | Primary |
Addresses
Primary practice location
25 Rahling Cir Ste C
Little Rock, AR 72223-9194
Mailing address
25 Rahling Cir Ste C
Little Rock, AR 72223-9194
Phone (150) 182-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185153631 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
25 Rahling Cir
Ste C
Little Rock, AR 72223
Phone (501) 817-3124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1902105984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RAHLING CIR STE C",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722239194",
"telephone_number": "150-182-1221",
"fax_number": "150-182-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 RAHLING CIR STE C",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722239194",
"telephone_number": "501-821-2214",
"fax_number": "150-182-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR DENTAL CARE LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "MATONE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "15018212214",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "AR",
"license": "2534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185153631",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Elizabeth Ann Seng, M.D.
- Sophear Seng, O.D.
- Maxwell Senger, OTD, OTR/L
- Taylor Rae Senger
- Senior Care Solutions Inc. (Specialty Care Solutions)
- Senior Resolution Resources, Inc
- Senior Resolution Resources, Inc.
- Seniorworks Optometry LLC
- Seniorworks Podiatry LLC
- Sensational Care- Supportive Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.