Individual provider Active NPI

Andrew Arcuri, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, NY
National Provider Identifier
1215059803
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
050957 Issued in NY
Practice address
5538 N Burdick St
Fayetteville, NY 13066-9604
Phone
(315) 637-6961
NPI assigned
Apr 4, 2007
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 050957 NY Primary

Addresses

Primary practice location

5538 N Burdick St
Fayetteville, NY 13066-9604

Mailing address

5538 N Burdick St
Fayetteville, NY 13066-9604
Phone (315) 637-6961

Other practice location 1

8016 E Genesee St
Fayetteville, NY 13066-9692
Phone (315) 637-6961

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
050957NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1215059803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 N BURDICK ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669604",
            "telephone_number": "315-637-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 N BURDICK ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130669604",
            "telephone_number": "315-637-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8016 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130669692",
            "country_code": "US",
            "telephone_number": "315-637-6961",
            "fax_number": "315-637-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCURI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.