Oscar Ramiro Arias, DDS
Individual provider Active NPI General Practice Dentistry · Indio, CA
NPI 1164574109 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1164574109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 52579 (CA)
- Practice address
- 46100 Rubidoux St Ste C1
Indio, CA 92201 - Phone
- (760) 775-3368
- Fax
- (760) 775-5090
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160520001629 | CA | Order and Referring Only - Dentist |
4284923863 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52579 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oscar Arias DDS. Inc | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52579 | CA | Yes |
| Dentist | 122300000X | 52579 | CA |
Addresses
Primary practice location
46100 Rubidoux St Ste C1
Indio, CA 92201
Mailing address
46100 Rubidoux St Ste C1
Indio, CA 92201-5735
Phone (760) 775-3368
Other providers in Indio, CA
- Yarabhi Guadalupe Arce
- Talitha Elizabeth Archer
- Elaine Marie Archuleta
- Violet Arellano
- John Daniel Argibay
- Yessica Arizaga Ramirez
- Alexis Christine Aronson-Miller
- Clarissa Lee Marie Aroz
- Jesse Arredondo
- Ramiro Arrizon
All providers in Indio, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.