Gentle Dental of Siloam Springs PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GENTLE DENTAL OF SILOAM SPRINGS PA

Practice address

1675 W Jefferson
Suite B
Siloan Springs, AR 72761

Phone

(479) 524-6182

Fax

(479) 549-3399

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Wood, RN

Title

Office Manager

Phone

(479) 524-6182

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcia Ruth Wheeler, DDS

  • General Practice Dentistry
  • Siloam Springs, AR
  • NPI 1417037805
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1053572784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 W JEFFERSON SUITE B",
            "address_2": "PO BOX 582",
            "city": "SILOAN SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-524-6182",
            "fax_number": "479-549-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W JEFFERSON",
            "address_2": "SUITE B",
            "city": "SILOAN SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-524-6182",
            "fax_number": "479-549-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL OF SILOAM SPRINGS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-524-6182",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200254370A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.