Richard Pierce Osborne II, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3262 Issued in AR

Practice address

1831 N Green Acres Rd
Fayetteville, AR 72703-2615

Phone

(479) 521-6400

Fax

(479) 521-0164

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

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.

• Ar Periodontal & Implant Assoc

  • Dentist
  • Harrison, AR
  • NPI 1346643699
  NPD (past)
• Ar Periodontal & Implant Assoc

  • Dentist
  • Fayetteville, AR
  • NPI 1881096519
  NPD (past)
• Northwest Arkansas Periodontal Associates, PLLC

  • Periodontics
  • Fayetteville, AR
  • NPI 1053418038
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1225135239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032619",
            "telephone_number": "479-521-6400",
            "fax_number": "479-521-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032615",
            "telephone_number": "479-521-6400",
            "fax_number": "479-521-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "RICHARD",
        "middle_name": "PIERCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58605",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Institute, PA
• Angel D Ortiz
• Blessing Enagbare Osa, MD
• Laura Wilson Osborn, MS, CCC-SLP
• Lance David Osborne, DDS
• Sarah Roseann Osborne, APRN-CNP
• Cody Joe Osbourn, PT
• Michael Osinski, MD
• Morgan Oswald
• Our Functional Wellness Clinic, LLC

• Periodontics in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Periodontics in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.