Organization Active NPI

Senior Dental Care LLC.

  • Health Maintenance Organization
  • Little Rock, AR
National Provider Identifier
1902105984
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2534 Issued in AR
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185153631MedicaidAR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.