Active NPI
Thomas Joseph Frederick Arietta, DMD
- General Practice Dentistry
- Prescott, AZ
National Provider Identifier
1194201145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10083
- Practice address
- 980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619 - Phone
- (928) 460-5618
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10083 | AZ | Primary |
Addresses
Primary practice location
980 Willow Creek Rd Ste 103
Prescott, AZ 86301-1619
Mailing address
5700 Market St Apt 2029
Prescott Valley, AZ 86314-6522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10083 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1194201145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 MARKET ST APT 2029",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 WILLOW CREEK RD STE 103",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011619",
"telephone_number": "928-460-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIETTA",
"first_name": "THOMAS",
"middle_name": "JOSEPH FREDERICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "10083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Kenneth Purdy Archer, MD
- Marissa Grace Archer, PT, DPT
- Zachary Archer, CCP
- Arches Legacy, LLC
- Arches PPT, LLC
- Arizona Adult and Pediatric Medicine PC
- Arizona Arthritis & Rheumatology Associates P C
- Arizona Associates in Dermatology and Cosmetic Surgery, LLC
- Arizona Bodyworks & Fitness LLC
- Arizona CVS Stores LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.