DDS MEDICAL, PLLC
NPI 1639690811
Family Medicine - Geriatric Medicine in Little Rock, AR
About Dds Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DDS MEDICAL, PLLC (NPI 1639690811) is a healthcare organization registered as a geriatric medicine in Little Rock, Arkansas and active in the NPI registry since June 2017. The organization lists Sanjay Dass, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dds Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to DDS Medical, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dds Medical, PLLC's NPI number?
The NPI number for Dds Medical, PLLC is 1639690811. It was assigned to this organization in the NPPES registry on June 28, 2017.
Where is Dds Medical, PLLC located?
Dds Medical, PLLC is located at 2 Saint Vincent Cir, Little Rock, AR 72205. The listed phone number is (501) 626-0053.
What is Dds Medical, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Dds Medical, PLLC enrolled in Medicare?
Yes. Dds Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dds Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Dds Medical, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dds Medical, PLLC was last updated on June 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dds Medical, Pllc · NPI 1639690811
Geriatric Medicine organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since June 28, 2017.
## Identity
- **NPI:** 1639690811 (Entity type: Organization)
- **Enumerated:** June 28, 2017
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Sanjay Dass, OWNER
## Practice location
- **Address:** 2 SAINT VINCENT CIR, Little Rock, AR 72205-5423
- **Phone:** (501) 626-0053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Geriatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1639690811) · Data from the CMS NPPES public registry.