DDS MEDICAL, PLLC (NPI# 1639690811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639690811 |
| Entity Type | Organization |
| Organization Name | DDS MEDICAL, PLLC |
| Practice Address |
2 Saint Vincent Cir Little Rock AR 72205-5423 |
| Mailing Address |
12780 Rivercrest Dr Little Rock AR 72212-1444 |
| Practice Telephone | 5016260053 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | SANJAY DASS (OWNER) |
| Authorized Official Telephone | 5016260053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2 SAINT VINCENT CIR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684431 | St Vincent Infirmary Medical Center | General Acute Care Hospital | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2005-07-22 |
| 1023618790 | Aaron Leach | Physical Therapist | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-10-30 |
| 1659982411 | Holly Marie Moore | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-08-13 |
| 1396365227 | Eric Louis Sessions | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-21 |
| 1417577420 | Cassandra Maureen Beaumont | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1992325922 | Josh Finley Edwards | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-20 |
| 1316566847 | Alex William Ebmeyer | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2020-04-14 |
| 1447819487 | Taliah Ragland | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1992364913 | Katie Vu | Nurse Practitioner | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-06-12 |
| 1437712668 | Mario Baldassaro | Nurse Anesthetist, Certified Registered | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316307531 | Simmons Geriatric Medicine and Long Term Care, Pa | Family Medicine | 16 Deauville Cir, Little Rock, AR 72223-5532 | 2016-03-01 |
| 1225128796 | Kenneth Morgan Sauer | Family Medicine | 823 N Arthur St, Little Rock, AR 72205-2901 | 2006-10-13 |
| 1427164631 | Mohammad Aamir Khan | Family Medicine | 4301 W Markham St # 748, Little Rock, AR 72205-7101 | 2006-08-21 |
| 1366454969 | Rheta Joann Horton Goatcher | Family Medicine | 14300 Chenal Pkwy, Little Rock, AR 72211-5805 | 2006-08-12 |
| 1962769521 | Dr David Health, Pa | Family Medicine | 10014 N Rodney Parham Rd, Suite #100, Little Rock, AR 72227-5598 | 2012-04-19 |
| 1942511696 | Kristin Lee Chaffee | Family Medicine | 4301 W Markham St # 748, Little Rock, AR 72205-7101 | 2010-06-28 |
| 1083925994 | Jasmine Amena Brathwaite | Family Medicine | 4301 W Markham St, Slot 748, Little Rock, AR 72205-7101 | 2010-06-24 |
| 1487881892 | Thirumal Reddy Dubbaka | Family Medicine | 2 Saint Vincent Cir Fl 3, Little Rock, AR 72205-5423 | 2009-06-12 |
| 1629277231 | Masil M George | Family Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-07-13 |
| 1982728853 | Shekher Adolph | Family Medicine | 4301 W Markham St, #783, Little Rock, AR 72205-7101 | 2007-03-18 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.