Randall S Hestir, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2266 Issued in MO

Practice address

1703 S Whitehead Dr
Dewitt, AR 72042

Phone

(870) 946-2013

Fax

(870) 946-1281

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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.

• Randall S Hestir DDS Inc

  • General Practice Dentistry
  • De Witt, AR
  • NPI 1770796401
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780754036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S WHITEHEAD DR",
            "address_2": "PO DRAWER 512",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "72042",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S WHITEHEAD DR",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "72042",
            "telephone_number": "870-946-2013",
            "fax_number": "870-946-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTIR",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Beth Gardner, MD
• Grand Prairie Physical Therapy, Inc.
• Laura Ann Hannum, APRN
• Michael Harris
• John Richard Holt Hestir, DDS
• Randi Carann Hestir, COTA-L
• Maggie Holzhauer
• Darby Wray Horton, RDN
• Debra Horton, M.S.E., CCC-SLP
• Hallie Elizabeth Horton, QBHP

• General Practice Dentistry in De Witt, AR
• Providers in De Witt, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.