Organization Active NPI

Arlington Dental Services, P.a.

Doing business as Arlington Dental Associates

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1205855400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12668 Issued in TX
Legal business name
ARLINGTON DENTAL SERVICES, P.A.
Doing business as
Arlington Dental Associates
Practice address
4654 S Cooper St
Ste. 316
Arlington, TX 76017-5865
Phone
(817) 557-0095
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert A Kestenbaum, DDSNPI 1134141443
Title
President
Phone
(817) 557-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12668 TX Primary

Addresses

Primary practice location

4654 S Cooper St
Ste. 316
Arlington, TX 76017-5865

Mailing address

4654 S Cooper St
Ste. 316
Arlington, TX 76017-5865
Phone (817) 557-0095

Other names 1

  • Arlington Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205855400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 S COOPER ST",
            "address_2": "STE. 316",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175865",
            "telephone_number": "817-557-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4654 S COOPER ST",
            "address_2": "STE. 316",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175865",
            "telephone_number": "817-557-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON DENTAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESTENBAUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-557-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.