Organization Active NPI

Bobby L Arnold DDS PA

  • Dentist
  • Austin, TX
National Provider Identifier
1124247242
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14458 Issued in TX
Legal business name
BOBBY L ARNOLD DDS PA
Practice address
3724 Jefferson St
Ste 100
Austin, TX 78731-6225
Phone
(512) 452-4661
Fax
(512) 452-2999
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Bobby L Arnold, DDS
Title
Owner
Phone
(512) 452-4661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 14458 TX Primary

Addresses

Primary practice location

3724 Jefferson St
Ste 100
Austin, TX 78731-6225

Mailing address

3724 Jefferson St
Suite 100
Austin, TX 78731-6225
Phone (512) 452-4661

Other names 1

  • Bobby L Arnold DDS PC Former legal business name

National Provider Directory

National Provider Directory

Locations

3724 Jefferson St
Ste 100
Austin, TX 78731
Phone (512) 452-4661

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1124247242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "512-452-4661",
            "fax_number": "512-452-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST",
            "address_2": "STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "512-452-4661",
            "fax_number": "512-452-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY L ARNOLD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-452-4661",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bobby L Arnold DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 11, 2014; 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.