Active NPI
Arpit Rajeshkumar Mehta, DMD
- Dentist
- Southbridge, MA
National Provider Identifier
1174008031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858120
- Practice address
- 305 Main St
Southbridge, MA 01550-3726 - Phone
- (508) 765-0880
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858120 | MA | Primary |
Addresses
Primary practice location
305 Main St
Southbridge, MA 01550-3726
Mailing address
657 Worcester St Apt 1014
Southbridge, MA 01550-1372
Phone (954) 609-6935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190221002365 | MA | Order and Referring Only - Dentist | 7911246723 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858120 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1174008031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 WORCESTER ST APT 1014",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015501372",
"telephone_number": "954-609-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MAIN ST",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015503726",
"telephone_number": "508-765-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "ARPIT",
"middle_name": "RAJESHKUMAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.