Active NPI
Robert Ernest Gunter, DDS
- Dentist
- Dierks, AR
National Provider Identifier
1801958970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2275
- Practice address
- 202 East Third Street
Dierks, AR 71833-0088 - Phone
- (870) 286-2112
- Fax
- (879) 286-2113
- NPI assigned
- Dec 15, 2006
- Last updated
- Oct 22, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2275 | AR | Primary |
Addresses
Primary practice location
202 East Third Street
Dierks, AR 71833-0088
Mailing address
PO Box 88
Dierks, AR 71833-0088
Phone (870) 286-2112
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616001015 | AR | Order and Referring Only - Dentist | 4981915063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2275 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1801958970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "DIERKS",
"state": "AR",
"postal_code": "718330088",
"telephone_number": "870-286-2112",
"fax_number": "879-286-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 EAST THIRD STREET",
"city": "DIERKS",
"state": "AR",
"postal_code": "718330088",
"telephone_number": "870-286-2112",
"fax_number": "879-286-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNTER",
"first_name": "ROBERT",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "2275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dierks, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.