Active NPI
Arielle Elizabeth Freed, DDS
- Dental Anesthesiology
- Sacramento, CA
National Provider Identifier
1043779390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 107706
- Practice address
- 2615 Riverside Blvd
Sacramento, CA 95818-2237 - Phone
- (650) 282-4171
- NPI assigned
- Mar 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 107706 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2615 Riverside Blvd
Sacramento, CA 95818-2237
Mailing address
510 Oak Grove Ave Apt C
Menlo Park, CA 94025-3244
Phone (626) 696-9973
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 |
|---|---|---|---|
| 107706 | CA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yen & Young Dental Corp | Current | Accepting new patients |
Locations
2615 Riverside Blvd
Sacramento, CA 95818
Phone (650) 282-4171
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Sacramento, CA
- NPI 1871229500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1043779390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 OAK GROVE AVE APT C",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253244",
"telephone_number": "626-696-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 RIVERSIDE BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958182237",
"telephone_number": "650-282-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREED",
"first_name": "ARIELLE",
"middle_name": "ELIZABETH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-17",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "107706",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.