Organization Active NPI

Jeffrey a Arnold, DDS, PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1205996683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY A ARNOLD, DDS, PC
Practice address
4200 W Peterson Ave
Suite 117
Chicago, IL 60646
Phone
(773) 777-7780
Fax
(847) 564-2564
NPI assigned
Dec 8, 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. Jeffrey A. Arnold, D.D.S.
Title
President
Phone
(773) 777-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

4200 W Peterson Ave
Suite 117
Chicago, IL 60646

Mailing address

4200 W Peterson Ave
Suite 117
Chicago, IL 60646
Phone (773) 777-7780

National Provider Directory

National Provider Directory

Locations

4200 W Peterson Ave
Ste 117
Chicago, IL 60646
Phone (773) 769-4800

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205996683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-777-7780",
            "fax_number": "847-564-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 117",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-777-7780",
            "fax_number": "847-564-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY A ARNOLD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-777-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

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.