OrganizationActive
Arkansas Dermatology Clinic PA
NPI 1497713580 · Dermatology Physician · Little Rock, AR
Provider details
- NPI number
- 1497713580
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Raque, Physician Owner(501) 666-5451
- License
- R2029 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 South University Avenue
Suite 704
Little Rock, AR 72205-5309
Phone: (501) 666-5451
Fax: (501) 663-3335
Street-level locationGet directions
Mailing address
500 South University Avenue
Little Rock, AR 72205-5309
Registry dates
- Enumerated
- 2006-05-01
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.