Robert C Goldtrap, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3242 Issued in AR

Practice address

4001 W Financial Pkwy
Rogers, AR 72758-1449

Phone

(479) 636-8700

NPI assigned

Jan 16, 2008

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 5

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

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 and National Provider Directory roles.

• Robert C Goldtrap DDS Inc

  • Dentist
  • Fort Smith, AR
  • NPI 1982780805
  NPD (past) Authorized official
• Robert C. Goldtrap,DDS,Inc

  • Dentist
  • Fort Smith, AR
  • NPI 1306063391
  NPD (past) Authorized official
• Arkansas Dental Professionals, Mongrain, P.a.

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1083577803
  NPD
• Ann Hubbs Family Dentistry Inc

  • Dentist
  • Rogers, AR
  • NPI 1982883690
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1699951996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W FINANCIAL PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581449",
            "telephone_number": "479-636-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W FINANCIAL PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581449",
            "telephone_number": "479-636-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTRAP",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U751",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108090A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139699608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710861858",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "464681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.