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Ty King, D.D.S.

NPI 1063555415ActiveIndividual· Dentist· Rogers, AR

Dentist (D.D.S.) in Rogers, Arkansas, licensed in AR, with an NPI issued in February 2007. Part D covered 141 prescriptions written in 2024, 99% of them generic.

Overview

NPI1063555415
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedFeb 15, 2007
Last updated in NPPESAug 28, 2023
Certified by providerAug 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X3457AR
Dentist, General Practice1223G0001X3457AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)141 · 141 30-day fills
Patients84
Total drug cost$604.73
Generic share99% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Rogers

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