Active NPI
David C. Garrett III, MD
- Family Medicine Physician
- Rogers, AR
National Provider Identifier
1265489421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C-5192
- Practice address
- 613 N 2ND St
Rogers, AR 72756-6611 - Phone
- (479) 878-1060
- Fax
- (479) 878-1070
- NPI assigned
- May 30, 2006
- Last updated
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C-5192 | AR | Primary |
Addresses
Primary practice location
613 N 2ND St
Rogers, AR 72756-6611
Mailing address
613 N 2ND St
Rogers, AR 72756-6611
Phone (479) 878-1060
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428001069 | AR | Practitioner - Family Practice | 1951340967 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5192 | AR | MD | Family Medicine Physician |
Interoperability endpoints
- dgarrett992@directa.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1265489421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 N 2ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727566611",
"telephone_number": "479-878-1060",
"fax_number": "479-878-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 N 2ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727566611",
"telephone_number": "479-878-1060",
"fax_number": "479-878-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "DAVID",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C-5192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
- Richard Louis Gardner, PT
- Russell W Gardner, DDS
- Sarah Maria Gardner, DDS
- Michael Alan Garone Jr., D.O.
- Cassandra Jo Garoutte, MASSAGE THERAPIST
- Larry Allen Gartman, DDS
- Madison Brooke Gaspar
- Gates Therapy Group, Inc. (PlayStrong Pediatric Therapy, Inc.)
- Staci Herndon Gathright, FNP
- Vijay Bhaskar Reddy Gayam, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.