JAMES T PHELAN (NPI# 1700974979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700974979 |
| Entity Type | Individual |
| Full Name | JAMES T PHELAN |
| Credential | DDS |
| Practice Address |
1225 Breckenridge Dr Ste 101 Little Rock AR 72205-1565 |
| Practice Telephone | 5012246535 |
| Practice Fax Number | 5012248652 |
| Mailing Telephone | 5012246535 |
| Mailing Fax Number | 5012248652 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2033 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1639649619 | James Joseph Phelan | Social Worker | 77 Mulberry St, Leicester, MA 01524-1011 | 2018-12-03 |
| 1194805457 | James Terence Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2006-10-17 |
| 1598736290 | James Richard Phelan | Otolaryngology | 1290 Hercules Ave, Wyle Laboratories, Houston, TX 77058-2749 | 2006-01-30 |
| 1255313656 | James Michael Phelan | Dentist | 3 Howarth Ave, South Attleboro, MA 02703-5926 | 2005-11-19 |
| 1447757372 | James Patrick Phelan | Social Worker | 2450 W Ridge Rd, Rochester, NY 14626-3037 | 2018-04-08 |
| 1427407279 | James Phelan | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2016-06-11 |
| 1760643589 | James Gordon Phelan | Audiologist-Hearing Aid Fitter | 2261 North St, Beaumont, TX 77701-1552 | 2008-06-24 |
| 1093871832 | James Edward Phelan | Dentist | 1105 Lakeview Ave, Dracut, MA 01825-4762 | 2006-12-28 |
| 1841206950 | James Edward Phelan Jr. | Social Worker | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-07-31 |
| Street Address |
1225 BRECKENRIDGE DR STE 101 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306934583 | Richard Thomas Phelan | Dentist | 1225 Breckenridge Dr Ste 101, Little Rock, AR 72205-1565 | 2006-10-11 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875729 | Wardlaw Orthodontics, P.a. | Dentist | 8315 Cantrell Rd Ste 100, Little Rock, AR 72227-2354 | 2020-06-11 |
| 1659922904 | Hodge Orthodontics | Dentist | 2924 Kavanaugh Blvd, Little Rock, AR 72205-3719 | 2019-09-26 |
| 1700346772 | Ashcraft Orthodontics Pllc | Dentist | 23 Shackleford Dr Ste A, Little Rock, AR 72211-2990 | 2019-03-25 |
| 1881053361 | Axpm Sw Little Rock Pedo, Pllc | Dentist | 9100 Geyer Springs Rd, Little Rock, AR 72209-6425 | 2016-02-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1033346143 | Vondran Orthodontics | Dentist | 4220 N Rodney Parham Rd Ste 310, Little Rock, AR 72212-2466 | 2009-06-16 |
| 1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
| 1114115219 | Bryan C Hiller | Dentist | 5100 Talley Rd, Ste 100, Little Rock, AR 72204-8032 | 2007-10-15 |
| 1326243973 | David E Walker Jr. | Dentist | 200 S University Ave Ste 200, Little Rock, AR 72205-5230 | 2007-06-15 |
| 1215149638 | Timmons Orthodontics | Dentist | 315 N Bowman Rd Ste 5, Little Rock, AR 72211-2735 | 2007-05-06 |
| 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.