Organization Active NPI

Arnouk DDS Inc

Doing business as Foothill Family Dental Group

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1013357300
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41655 Issued in CA
Legal business name
ARNOUK DDS INC
Doing business as
Foothill Family Dental Group
Practice address
210 S Grand Ave
Suite 420
Glendora, CA 91741-4205
Phone
(626) 963-3322
Fax
(626) 963-3399
NPI assigned
Jul 1, 2013
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Reema Arnouk, D.D.S.NPI 1316282981
Title
Doctor Owner
Phone
(626) 963-3322

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 Dentistry 1223G0001X 41655 CA Primary

Addresses

Primary practice location

210 S Grand Ave
Suite 420
Glendora, CA 91741-4205

Mailing address

210 S Grand Ave
Suite 420
Glendora, CA 91741-4205
Phone (626) 963-3322

Other names 1

  • Foothill Family Dental Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310001888 CA Part B Supplier - Clinic/Group Practice 7214343540 Receives reassigned benefits from 3 practitioners
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

210 S Grand Ave
Ste 420
Glendora, CA 91741
Phone (316) 300-8959

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1013357300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 420",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414205",
            "telephone_number": "626-963-3322",
            "fax_number": "626-963-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 420",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414205",
            "telephone_number": "626-963-3322",
            "fax_number": "626-963-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOUK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "ARNOUK",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "626-963-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.