NPIMap

Organization Active NPI

Robert C. Goldtrap,DDS,Inc

  • Dentist
  • Fort Smith, AR
National Provider Identifier
1306063391
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROBERT C. GOLDTRAP,DDS,INC
Practice address
8309 Phoenix Avenue
Fort Smith, AR 72903-0001
Phone
(479) 484-7645
Fax
(479) 484-1551
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Robert C Goldtrap, D.D.S.NPI 1699951996
Title
Owner
Phone
(479) 484-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8309 Phoenix Avenue
Fort Smith, AR 72903-0001

Mailing address

8309 Phoenix Avenue
Fort Smith, AR 72903-0001
Phone (479) 484-7645

Other identifiers 3

IdentifierTypeStateIssuer
464681OtherARUNITED CONCORDIA
5U751OtherARBLUE CROSS BLUE SHIELD
160840631MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Robert C Goldtrap DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8309 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 434-4430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1306063391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 PHOENIX AVENUE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729030001",
            "telephone_number": "479-484-7645",
            "fax_number": "479-484-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 PHOENIX AVENUE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729030001",
            "telephone_number": "479-484-7645",
            "fax_number": "479-484-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. GOLDTRAP,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "GOLDTRAP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-484-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "464681",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U751",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160840631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.