Active NPI
Olivia Rae Arellano, RDH
- Dental Hygienist
- Cadillac, MI
National Provider Identifier
1003577917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902019649
- Practice address
- 520 Cobb St
Cadillac, MI 49601-2588 - Phone
- (231) 876-6505
- Fax
- (231) 876-6799
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902019649 | MI | Primary |
Addresses
Primary practice location
520 Cobb St
Cadillac, MI 49601-2588
Mailing address
1615 Michigan Ave
Baldwin, MI 49304-9406
Phone (231) 745-2743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902019649 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1003577917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MICHIGAN AVE",
"city": "BALDWIN",
"state": "MI",
"postal_code": "493049406",
"telephone_number": "231-745-2743",
"fax_number": "231-745-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 COBB ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012588",
"telephone_number": "231-876-6505",
"fax_number": "231-876-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "OLIVIA",
"middle_name": "RAE",
"name_prefix": "Miss",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902019649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.