Active NPI
Gary G Guthrie, DDS
- Dentist
- Fayetteville, AR
National Provider Identifier
1114937323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2977
- Practice address
- 1188 N Salem Rd Ste 10
Fayetteville, AR 72704-8808 - Phone
- (479) 527-0707
- Fax
- (479) 527-0201
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2977 | AR | Primary |
Addresses
Primary practice location
1188 N Salem Rd Ste 10
Fayetteville, AR 72704-8808
Mailing address
2369 E Bristol PL
Fayetteville, AR 72701-2737
Phone (479) 582-2630
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2977 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Carlisle D.D.S. L.L.C. | Dentist | Past | Accepting new patients |
| Wedington Court Dental Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fayetteville, AR
- NPI 1760740799
-
- Dentist
- Fayetteville, AR
- NPI 1114399946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114937323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2369 E BRISTOL PL",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727012737",
"telephone_number": "479-582-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 N SALEM RD STE 10",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727048808",
"telephone_number": "479-527-0707",
"fax_number": "479-527-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "GARY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.