Individual provider Active NPI

Luis D Arango, DDS

  • Pediatric Dentistry
  • Virginia Beach, VA
National Provider Identifier
1063647824
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0401412395 Issued in VA
Practice address
5004 Ferrell Pkwy Ste 104
Virginia Beach, VA 23464-8875
Phone
(757) 296-0570
Fax
(757) 296-0571
NPI assigned
May 22, 2009
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401412395 VA Primary

Addresses

Primary practice location

5004 Ferrell Pkwy Ste 104
Virginia Beach, VA 23464-8875

Mailing address

5004 Ferrell Pkwy Ste 104
Virginia Beach, VA 23464-8875
Phone (757) 296-0570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@smilewithlove.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
0401412395VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiling With Love PLLC Pediatric Dentistry CurrentSince Jan 26, 2022 Accepting new patients

Locations

5004 Ferrell Pkwy
Ste 104
Virginia Beach, VA 23464
Phone (757) 296-0570

Interoperability endpoints

  • Direct secure messaging: info@smilewithlove.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1063647824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 FERRELL PKWY STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648875",
            "telephone_number": "757-296-0570",
            "fax_number": "757-296-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 FERRELL PKWY STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648875",
            "telephone_number": "757-296-0570",
            "fax_number": "757-296-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "LUIS",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@smilewithlove.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5004 Ferrell Pkwy Ste 104",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234648875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.