Active NPI
Arvind P Jain, DMD
- Dentist
- Salisbury, MD
National Provider Identifier
1225122203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13897
- Practice address
- 614 Eastern Shore Dr
Ste D
Salisbury, MD 21804-5940 - Phone
- (410) 546-5900
- Fax
- (410) 546-9596
- NPI assigned
- Oct 3, 2006
- Last updated
- May 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13897 | MD | Primary |
Addresses
Primary practice location
614 Eastern Shore Dr
Ste D
Salisbury, MD 21804-5940
Mailing address
614 Eastern Shore Dr Ste D
Salisbury, MD 21804-5940
Phone (410) 546-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150630000732 | MD | Order and Referring Only - Dentist | 8628380961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13897 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arvind P Jain DMD | Dentist | Current | Accepting new patients |
Locations
123 W College Ave
Salisbury, MD 21804
Phone (410) 546-5900
614 Eastern Shore Dr
Ste D
Salisbury, MD 21804
Phone (410) 742-0062
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1225122203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 EASTERN SHORE DR STE D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045940",
"telephone_number": "410-546-5900",
"fax_number": "410-546-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 EASTERN SHORE DR",
"address_2": "STE D",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045940",
"telephone_number": "410-546-5900",
"fax_number": "410-546-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "ARVIND",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
- Nasima Neelofer Jaffery, M.D.
- Syed Jaffery, MD
- Supriya Banad Jagannath, M.D
- Kory St John Jaggon, MBBS
- Muhammad Umair Jahngir, M.D.
- James a Rano DPM LLC (Rano Foot & Ankle Center)
- James a Rano DPM LLC (Rano Foot & Ankle Center)
- James a. McLaughlin, DMD, P.a.
- James J Klocek DPM PA
- James J. Morgan MD PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.