Individual provider Active NPI

Kristi Gipe Golden, DDS

  • General Practice Dentistry
  • Hot Springs Village, AR
National Provider Identifier
1154580066
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3434 Issued in AR
Practice address
103 Plaza Carmona PL
Hot Springs Village, AR 71909-3000
Phone
(501) 922-2600
Fax
(501) 922-2985
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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 3434 AR Primary

Addresses

Primary practice location

103 Plaza Carmona PL
Hot Springs Village, AR 71909-3000

Mailing address

103 Plaza Carmona PL
Hot Springs Village, AR 71909-3000
Phone (501) 922-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801002264 AR Order and Referring Only - DentistPractitioner - Dentist 9638462492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3434ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Two Thirty Dental LLC General Practice Past Accepting new patients
Kristi a Gipe DDS PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1154580066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLAZA CARMONA PL",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093000",
            "telephone_number": "501-922-2600",
            "fax_number": "501-922-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLAZA CARMONA PL",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719093000",
            "telephone_number": "501-922-2600",
            "fax_number": "501-922-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "KRISTI",
        "middle_name": "GIPE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.