MR. ERIC KAMAAL MATHIS (NPI# 1043396823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043396823 |
| Entity Type | Individual |
| Full Name | MR. ERIC KAMAAL MATHIS |
| Credential | D.D.S. |
| Practice Address |
26 Green Valley Dr Mountain Home AR 72653-8102 |
| Practice Telephone | 8704256911 |
| Practice Fax Number | 8704244891 |
| Mailing Telephone | 8704256911 |
| Mailing Fax Number | 8704244891 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2880 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 58313 | 01 |
| AR | UNITED CONCORDIA | 842508 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699238105 | Eric Mathis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2019-04-11 |
| 1194100834 | Eric Mathis | Occupational Therapy Assistant | 911 N Spring Garden Ave, Deland, FL 32720-2560 | 2015-07-23 |
| 1386856763 | Eric Andrew Mathis | Massage Therapist | 1834 Nuuanu Ave, Suite 201, Honolulu, HI 96817-2427 | 2007-05-05 |
| Street Address |
26 GREEN VALLEY DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982712139 | Robert E. Nosari, D.d.s., P.a. | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-08-28 |
| 1124287693 | Bradley Wayne Coleman | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2008-06-09 |
| 1437244589 | Bob Mathis Dds Pa | Dentist | 26 Green Valley Dr, Bob Mathis Dds Pa, Mountain Home, AR 72653-8102 | 2006-10-04 |
| 1386756591 | Bobby Joe Mathis | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214468 | Kyle Wesley Barton | Dentist | 330 Highway 5 N Ste 10, Mountain Home, AR 72653-3039 | 2017-06-07 |
| 1952830945 | Jared Sexauer | Dentist | 455 N 3rd E, Mountain Home, ID 83647-2738 | 2017-06-05 |
| 1386850600 | Bruce T. Greenwood | Dentist | 125 S. 10th E., Mountain Home, ID 83647-3120 | 2007-05-15 |
| 1588748529 | Neil D Adamson | Dentist | 270 E 5th N, Mountain Home, ID 83647-2749 | 2006-10-25 |
| 1982712139 | Robert E. Nosari, D.d.s., P.a. | Dentist | 26 Green Valley Dr, Mountain Home, AR 72653-8102 | 2006-08-28 |
| 1144335886 | Dental Center P.l.l.c. | Dentist | 815 N 6th E, Mountain Home, ID 83647-2207 | 2006-08-21 |
| 1386758027 | Robert Elmo Nosari | Dentist | 26 Green Valley Drive, Mountain Home, AR 72653-8102 | 2006-08-19 |
| 1588777056 | John T. Ahrens | Dentist | 403 E 7th St, Mountain Home, AR 72653-3948 | 2006-08-17 |
| 1255342028 | John V. Sullivant | Dentist | 727 N Cardinal Dr, Mountain Home, AR 72653-3253 | 2006-08-10 |
| 1932119484 | John Louis Vogl | Dentist | 925 W 6th S, Mountain Home, ID 83647-3300 | 2006-08-08 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on MR. ERIC KAMAAL MATHIS.
| 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.