Maurice Louie Allred, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AR1806 Issued in AR

Practice address

9 Mohawk Cir
Little Rock, AR 72207-2515

Phone

(501) 804-4973

NPI assigned

Mar 6, 2007

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1942330618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOHAWK CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072515",
            "telephone_number": "501-804-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOHAWK CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722072515",
            "telephone_number": "501-804-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "MAURICE",
        "middle_name": "LOUIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "AR1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "AR1806",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE BCBS ID",
            "identifier": "58242",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE TAX ID",
            "identifier": "71-0775709",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alloplastic Facial Reconstruction (Alloplastic Reconstruction Inc)
• Alloplastic Reconstruction
• Alloplastic Restoration Foundation, Inc.
• Felix Nii Saka Allotey
• Ashley E Allred, MHPP
• Mary Amanda Alls, LCSW
• Tristan John Allsopp, MD
• Nureddin Almaddah, MD
• Martha Alman
• Martha Berenic Almaraz Gallegos, LAC

• General Practice Dentistry in Little Rock, AR
• Providers in Little Rock, 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 Jul 10, 2012; 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.