Forrest Garnett Bale, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3799 Issued in AR

Practice address

319 S Glenwood Ave
Russellville, AR 72801-5906

Phone

(479) 968-1334

NPI assigned

Sep 28, 2006

Last updated

Oct 19, 2012By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Forrest G. Bale, DDS Oral and Maxillofacial Surgery PA

  • Dental Clinic/Center
  • Russellville, AR
  • NPI 1568715175
  NPD Authorized official
• Dr. Daniel W Skinner, P.S.

  dba Omax

  • Oral and Maxillofacial Surgery Clinic/Center
  • Spokane Valley, WA
  • NPI 1811083793
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1376635375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S GLENWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015906",
            "telephone_number": "479-968-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S GLENWOOD AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015906",
            "telephone_number": "479-968-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALE",
        "first_name": "FORREST",
        "middle_name": "GARNETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00010370",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Baker, RECOVERY ASSISTANT
• James Baker, RECOVERY ASSISTANT
• Kathleen Baker, LPN
• Sandra Lynn Baker, MS OTR/L
• Laken Nicolle Baldwin, DPT
• Angela Balentine
• Linda Jo Bankston, LCSW, LADAC, AADC
• Baptist Health (Baptist Health Family Clinic - Russellville)
• Leigh Merritt Barborek, DPT
• Amy Ruth Barley, OTRL

• Oral and Maxillofacial Surgery (Dentist) in Russellville, AR
• Providers in Russellville, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.