Individual provider Active NPI

Richard Vanbebber, D.D.S.

  • General Practice Dentistry
  • Hot Springs, AR
National Provider Identifier
1023102241
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2308 Issued in AR
Practice address
211 Hobson Ave
Hot Springs, AR 71913-3724
Phone
(501) 624-3323
Fax
(501) 624-5626
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2308 AR Primary

Addresses

Primary practice location

211 Hobson Ave
Hot Springs, AR 71913-3724

Mailing address

211 Hobson Ave
Hot Springs, AR 71913-3724
Phone (501) 624-3323

Other identifiers 2

IdentifierTypeStateIssuer
58948OtherARARKANSAS BLUE CROSS
198926OtherARUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2308ARMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023102241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HOBSON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719133724",
            "telephone_number": "501-624-3323",
            "fax_number": "501-624-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOBSON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719133724",
            "telephone_number": "501-624-3323",
            "fax_number": "501-624-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEBBER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "58948",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "198926",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.