Individual provider Active NPI

Brandon Ray Stroope, D.M.D.

  • Dentist
  • Siloam Springs, AR
National Provider Identifier
1265729644
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3825 Issued in AR
Practice address
3860 Highway 412 E Ste F
Siloam Springs, AR 72761
Phone
(479) 306-6433
Fax
(479) 524-0976
NPI assigned
Jul 6, 2011
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3825 AR Primary

Addresses

Primary practice location

3860 Highway 412 E Ste F
Siloam Springs, AR 72761

Mailing address

3860 Highway 412 E Ste F
Siloam Springs, AR 72761-8499
Phone (479) 306-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150731016486 CA Order and Referring Only - DentistPractitioner - Dentist 8527372721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3825ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon R Stroope. DMD. PLLC Dentist Current Accepting new patients

Locations

3860 Highway 412 E
Ste F
Siloam Springs, AR 72761
Phone (479) 306-6433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1265729644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 HIGHWAY 412 E STE F",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618499",
            "telephone_number": "479-306-6433",
            "fax_number": "479-524-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 HIGHWAY 412 E STE F",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-306-6433",
            "fax_number": "479-524-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROOPE",
        "first_name": "BRANDON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.