Organization Active NPI

West Plains Family Clinic Inc.

  • Family Medicine Physician
  • West Plains, MO
National Provider Identifier
1306155668
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO34955 Issued in MO
Legal business name
WEST PLAINS FAMILY CLINIC INC.
Practice address
1108 Alaska St
West Plains, MO 65775-2002
Phone
(417) 256-7137
Fax
(417) 257-7150
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Dr. Arthur George Bentley Jr., D.O.
Title
Owner/Operator
Phone
(417) 256-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO34955 MO Primary

Addresses

Primary practice location

1108 Alaska St
West Plains, MO 65775-2002

Mailing address

1108 Alaska St
West Plains, MO 65775-2002
Phone (417) 256-7137

Other identifiers 1

IdentifierTypeStateIssuer
240014118MedicaidMO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0447486Family Clinic1108 Alaska Ave, West Plains, MO 65775Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1108 Alaska St
West Plains, MO 65775
Phone (417) 256-7137

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": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1306155668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ALASKA ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752002",
            "telephone_number": "417-256-7137",
            "fax_number": "417-257-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ALASKA ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752002",
            "telephone_number": "417-256-7137",
            "fax_number": "417-257-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PLAINS FAMILY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "417-256-7137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO34955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240014118",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.