Individual provider Active NPI

Jason A. Dare, M.D.

  • Rheumatology Physician
  • Little Rock, AR
National Provider Identifier
1962433615
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
E3692 Issued in AR
Practice address
1001 Technology Dr Ste 401
Little Rock, AR 72223-6113
Phone
(800) 294-3557
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E3692 AR
Pediatric Rheumatology Physician 2080P0216X E3692 AR
Rheumatology Physician 207RR0500X E3692 AR Primary

Addresses

Primary practice location

1001 Technology Dr Ste 401
Little Rock, AR 72223-6113

Mailing address

1001 Technology Dr Ste 401
Little Rock, AR 72223-6113
Phone (800) 294-3557

Other identifiers 3

IdentifierTypeStateIssuer
03679274MedicaidMS
200075330AMedicaidOK
158157001MedicaidAR

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000597 AR Practitioner - Rheumatology 4284666223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3692ARMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Children's Hospital CurrentSince Feb 10, 2011 Accepting new patients
Arkansas Childrens Hospital Pediatrics CurrentSince Feb 10, 2011 Accepting new patients
University of Arkansas for Medical Sciences Pediatrics CurrentSince Feb 10, 2011 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Feb 10, 2011 Accepting new patients

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

800 Marshall St
Ste 653
Little Rock, AR 72202
Phone (501) 364-4020

1 Childrens Way
#5122
Little Rock, AR 72202
Phone (501) 364-1848

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1962433615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TECHNOLOGY DR STE 401",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722236113",
            "telephone_number": "800-294-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TECHNOLOGY DR STE 401",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722236113",
            "telephone_number": "800-294-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARE",
        "first_name": "JASON",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3692",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "AR",
            "license": "E3692",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "E3692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03679274",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075330A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158157001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.