Individual provider Active NPI

Arlene Ruth Kubit, D.M.D.

  • Prosthodontics
  • Erie, PA
National Provider Identifier
1083044804
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS024928-L Issued in PA
Practice address
3703 Old French Rd
Erie, PA 16504-1629
Phone
(814) 825-7373
Fax
(314) 814-0016
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS024928-L PA Primary

Addresses

Primary practice location

3703 Old French Rd
Erie, PA 16504-1629

Mailing address

3703 Old French Rd
Erie, PA 16504-1629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000218 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729219621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024928-LPAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1083044804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041629",
            "fax_number": "314-814-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 OLD FRENCH RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041629",
            "telephone_number": "814-825-7373",
            "fax_number": "314-814-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIT",
        "first_name": "ARLENE",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS024928-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.