Active NPI
George E Arquitt III, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2002001969M
- Practice address
- 1103 E Montclair St
Suite 100
Springfield, MO 65807-5076 - Phone
- (417) 887-8800
- Fax
- (417) 887-6265
- NPI assigned
- Sep 15, 2005
- Last updated
- Mar 31, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2002002703D | MO | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2002001969M | MO | Primary |
Addresses
Primary practice location
1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Mailing address
1103 E Montclair St
Suite 100
Springfield, MO 65807-5076
Phone (417) 887-8800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190010364 | Other | MO | RR MEDICARE |
| 157751 | Other | MO | BLUE CHOICE |
| 405747700 | Medicaid | MO | |
| 2703 | Other | MO | DELTA DENTAL |
| 12278 | Other | MO | BC/S DENTAL |
| 157751 | Other | MO | BC/S MEDICAL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Vanderbilt University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Summit Dr
Branson, MO 65616-7312
Phone 41788788001254
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002001969M | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
| 2002002703D | MO | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gipson, Arquitt, Meyer and Shaner DDS, PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| C. Rex Witherspoon Surgery Center Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Oral Anesthesia Group Inc | Past | Accepting new patients |
Locations
102 SMT Dr
Branson, MO 65616
102 SMT Dr
Branson, MO 65616
Phone 41788788001254
1103 E Montclair St
Ste 100
Springfield, MO 65807
Phone (414) 887-8800
1103 E Montclair St
Ste 110
Springfield, MO 65807
Phone (417) 447-2482
Interoperability endpoints
- george.arquitt@cernerdirect.coxhealth.com
Organizations & group practices 4
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.
-
dba Oms
- Oral and Maxillofacial Surgery (Dentist)
- Springfield, MO
- NPI 1801091657
-
- Ambulatory Surgical Clinic/Center
- Springfield, MO
- NPI 1629105770
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1942337001
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1720073703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 E MONTCLAIR ST",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075076",
"telephone_number": "417-887-8800",
"fax_number": "417-887-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 E MONTCLAIR ST",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075076",
"telephone_number": "417-887-8800",
"fax_number": "417-887-6265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARQUITT",
"first_name": "GEORGE",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2002002703D",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MO",
"license": "2002001969M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "190010364",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "157751",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405747700",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "2703",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/S DENTAL",
"identifier": "12278",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/S MEDICAL",
"identifier": "157751",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.
- 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.