Active NPI
Arthur George Bentley, D.O.
- Family Medicine Physician
- West Plains, MO
National Provider Identifier
1639281116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34955
- Practice address
- 1108 Alaska St
West Plains, MO 65775-2002 - Phone
- (417) 256-7137
- Fax
- (417) 257-7150
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34955 | MO | Primary |
| Family Medicine Physician | 207Q00000X | R3512 | AR |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10586 | Other | MO | BCBS OF MISSOURI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160324000370 | MO | Order and Referring Only - General Practice | 6901099118 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3512 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1639281116",
"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": {
"last_name": "BENTLEY",
"first_name": "ARTHUR",
"middle_name": "GEORGE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "34955",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "R3512",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MISSOURI",
"identifier": "10586",
"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 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.