Individual provider Active NPI

Arnold David Fienman, DDS

  • Dentist
  • Trevose, PA
National Provider Identifier
1205018074
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023656L Issued in PA
Practice address
934 Ann Drive
Trevose, PA 19053-6175
Phone
(215) 364-8530
Fax
(215) 942-2407
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS023656L PA Primary

Addresses

Primary practice location

934 Ann Drive
Trevose, PA 19053-6175

Mailing address

934 Ann Drive
Trevose, PA 19053-6175
Phone (215) 364-8530

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

LicenseStateTypeSpecialty
DS023656LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1205018074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 ANN DRIVE",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536175",
            "telephone_number": "215-364-8530",
            "fax_number": "215-942-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ANN DRIVE",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536175",
            "telephone_number": "215-364-8530",
            "fax_number": "215-942-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENMAN",
        "first_name": "ARNOLD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023656L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.