Individual provider Active NPI

Robert Ernest Gunter, DDS

  • Dentist
  • Dierks, AR
National Provider Identifier
1801958970
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2275 Issued in AR
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001015 AR Order and Referring Only - DentistPractitioner - Dentist 4981915063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2275ARMDPhysical 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

Verify at the official NPI Registry.