Active NPI
Tomie McCall Jr.
- Dentist
- Little Rock, AR
National Provider Identifier
1942352596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2509
- Practice address
- 721 East 21St Street
Little Rock, AR 72206 - Phone
- (501) 374-2525
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2509 | AR | Primary |
Addresses
Primary practice location
721 East 21St Street
Little Rock, AR 72206
Mailing address
PO Box 966
Little Rock, AR 72206
Phone (501) 374-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58745 | Other | AR BLUECROSS BLUESHIELD | |
| 478180 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942352596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 966",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72206",
"telephone_number": "501-374-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 EAST 21ST STREET",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72206",
"telephone_number": "501-374-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "TOMIE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUECROSS BLUESHIELD",
"identifier": "58745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "478180",
"state": null
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.