Active NPI
Bobby L. Arnold, D.D.S.
- Dentist
- Austin, TX
National Provider Identifier
1023449154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14458
- Practice address
- 3724 Jefferson St Ste 100
Austin, TX 78731-6219 - Phone
- (512) 452-4661
- NPI assigned
- Nov 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 14458 | TX | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14458 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3724 Jefferson St Ste 100
Austin, TX 78731-6219
Mailing address
3724 Jefferson St Ste 100
Austin, TX 78731-6219
Phone (512) 452-4661
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124247242 | Other | TX | NPI |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2013.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1023449154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316219",
"telephone_number": "512-452-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316219",
"telephone_number": "512-452-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "BOBBY",
"middle_name": "L.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124247242",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.