Individual provider Active NPI

Celeste Nacale Gish-Hampton, DMD

  • General Practice Dentistry
  • Waldron, AR
National Provider Identifier
1265090575
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4811 Issued in AR
Practice address
2074 Rice St
Waldron, AR 72958-7435
Phone
(479) 307-8760
NPI assigned
Jun 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1002084-15 WI
General Practice Dentistry 1223G0001X 4811 AR Primary

Addresses

Primary practice location

2074 Rice St
Waldron, AR 72958-7435

Mailing address

2074 Rice St
Waldron, AR 72958-7435
Phone (479) 307-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20190729002030 WI Order and Referring Only - DentistPractitioner - Dentist 9830425883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002084-15WIMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: cgishhampton649953@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1265090575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 RICE ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587435",
            "telephone_number": "479-307-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 RICE ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587435",
            "telephone_number": "479-307-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISH-HAMPTON",
        "first_name": "CELESTE",
        "middle_name": "NACALE",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-01",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002084-15",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldron, AR

Sources for this page

Verify at the official NPI Registry.