NPIMap

Individual provider Active NPI

Bao N Dang, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1265450654
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4971 Issued in AR
Practice address
8600 S 36TH Ter
Fort Smith, AR 72908-8768
Phone
(479) 709-7473
Fax
(479) 709-7466
NPI assigned
Jul 17, 2006
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E4971 AR Primary

Addresses

Primary practice location

8600 S 36TH Ter
Fort Smith, AR 72908-8768

Mailing address

PO Box 11449
Belfast, ME 04915-4005
Phone (479) 709-1924

Other identifiers 2

IdentifierTypeStateIssuer
162521001MedicaidAR
100845870AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061205000328 AR Practitioner - Family Practice 4880580646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians

Practice addresses (Care Compare)

1500 Dodson Ave
Fort Smith, AR 72901-5182

8600 S 36TH Ter
Fort Smith, AR 72908-8768
Phone (479) 709-7465

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4971ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Services Current Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Sparks Medical Foundation Family Medicine Past Accepting new patients
Fort Smith Hma, LLC Past Accepting new patients
Camp Emergency Medicine Associates PA Past Accepting new patients
Sparks Medical Foundation Past Accepting new patients
Sparks Regional Medical Center Past Accepting new patients

Locations

937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Fort Smith, AR 72901
Phone (479) 441-2600

1500 Dodson Ave
Ste 126
Fort Smith, AR 72901
Phone (479) 709-7375

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 65
Fort Smith, AR 72901
Phone (479) 441-5475

8600 S 36th Ter
Fort Smith, AR 72908
Phone (479) 709-7422

8600 S 36th Ter
Ste A
Fort Smith, AR 72908
Phone (479) 709-7465

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: bdang220084@direct.baptist-healthar.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1265450654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11449",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088768",
            "telephone_number": "479-709-7473",
            "fax_number": "479-709-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "BAO",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162521001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100845870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.