Active NPI
Ronald K. Girlinghouse, D.D.S, P.A.
- General Practice Dentistry
- Sallisaw, OK
National Provider Identifier
1285636027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5312
- Practice address
- 1206 Brown Blvd
Sallisaw, OK 74955-7263 - Phone
- (918) 775-5775
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5312 | OK | Primary |
Addresses
Primary practice location
1206 Brown Blvd
Sallisaw, OK 74955-7263
Mailing address
3109 Heather Oaks Way
Fort Smith, AR 72908-9313
Phone (918) 775-5775
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5312 | OK | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R K Girlinghouse DDS PA | General Practice | Current | Accepting new patients |
| R K Girlinghouse DDS PA | General Practice | Current | Accepting new patients |
Locations
2307 S Zero St
Ste 103
Fort Smith, AR 72901
Phone (479) 646-4499
2308 Fayetteville Rd
Ste 1600
Van Buren, AR 72956
Phone (479) 474-7600
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285636027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 HEATHER OAKS WAY",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729089313",
"telephone_number": "918-775-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 BROWN BLVD",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749557263",
"telephone_number": "918-775-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRLINGHOUSE",
"first_name": "RONALD",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.D.S, P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.