Organization Active NPI

Robert E. Nosari, D.D.S., P.a.

  • General Practice Dentistry
  • Mountain Home, AR
National Provider Identifier
1982712139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1789 Issued in AR
Legal business name
ROBERT E. NOSARI, D.D.S., P.A.
Practice address
26 Green Valley Dr
Mountain Home, AR 72653-8102
Phone
(870) 425-6911
Fax
(870) 424-4891
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Elmo Nosari, D.D.S.NPI 1386758027
Title
Dentist
Phone
(870) 425-6911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1789 AR Primary

Addresses

Primary practice location

26 Green Valley Dr
Mountain Home, AR 72653-8102

Mailing address

26 Green Valley Dr
Mountain Home, AR 72653-8102
Phone (870) 425-6911

Other identifiers 2

IdentifierTypeStateIssuer
426266OtherARUNITED CONCORDIA
58903OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

26 Green Valley Dr
Mountain Home, AR 72653
Phone (870) 425-6911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982712139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-425-6911",
            "fax_number": "870-424-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREEN VALLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538102",
            "telephone_number": "870-425-6911",
            "fax_number": "870-424-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. NOSARI, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOSARI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ELMO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-425-6911",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "1789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "426266",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58903",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.