Individual provider Active NPI

Ronald K. Girlinghouse, D.D.S, P.A.

  • General Practice Dentistry
  • Sallisaw, OK
National Provider Identifier
1285636027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5312 Issued in OK
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220905000213 AR Practitioner - Dentist 8527364603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5312OKMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R K Girlinghouse DDS PA General Practice CurrentSince Jun 1, 2022 Accepting new patients
R K Girlinghouse DDS PA General Practice CurrentSince Jun 1, 2022 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

Verify at the official NPI Registry.