Ronald D Gore, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1954 Issued in TN

Practice address

122 Main St
Newport, AR 72112-3232

Phone

(870) 523-3669

Fax

(870) 523-2757

NPI assigned

Jan 5, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ronald D Gore, DDS

  • Dentist
  • Newport, AR
  • NPI 1972190718
  NPD Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295883411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123232",
            "telephone_number": "870-523-3669",
            "fax_number": "870-523-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123232",
            "telephone_number": "870-523-3669",
            "fax_number": "870-523-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AR",
            "identifier": "58217",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gates Eye Care Center, Inc.
• Jason Deon Gates, O.D.
• Leotis Gist, RECOVERY ASSISTANT
• Amanda Goldman
• Olivia Peek Goodon
• Stephen J. Graham Jr.
• Ahmad Granberry, CMP
• Green Valley Healthcare, LLC
• Alison Louise Green, MD
• Andrew Green, MHPP

• Dentist in Newport, AR
• Providers in Newport, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.