John Richard Holt Hestir, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3948 Issued in AR

Practice address

1703 S Whitehead Dr
P O Drawer 512
De Witt, AR 72042-2911

Phone

(870) 946-2013

Fax

(870) 946-1281

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1205276391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S WHITEHEAD DR",
            "address_2": "P O DRAWER 512",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422911",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S WHITEHEAD DR",
            "address_2": "P O DRAWER 512",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422911",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTIR",
        "first_name": "JOHN",
        "middle_name": "RICHARD HOLT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreene Properties of North Carolina,LLC (Crestpark Inn of Dewitt)
• Julie Beth Gardner, MD
• Grand Prairie Physical Therapy, Inc.
• Laura Ann Hannum, APRN
• Michael Harris
• Randall S Hestir, DDS
• Randi Carann Hestir, COTA-L
• Maggie Holzhauer
• Darby Wray Horton, RDN
• Debra Horton, M.S.E., CCC-SLP

• Dentist in De Witt, AR
• Providers in De Witt, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.