Individual provider Active NPI

Arvind P Jain, DMD

  • Dentist
  • Salisbury, MD
National Provider Identifier
1225122203
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13897 Issued in MD
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630000732 MD Order and Referring Only - DentistPractitioner - Dentist 8628380961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13897MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind P Jain DMD Dentist CurrentSince Jun 1, 2024 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

Sources for this page

Verify at the official NPI Registry.