Individual provider Active NPI

Arti Dahiya, DMD

  • Pediatric Dentistry
  • Cary, NC
National Provider Identifier
1245580745
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10948 Issued in NC
Practice address
351 Wellesley Trade LN Ste 212
Cary, NC 27519-5602
Phone
(919) 617-7878
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10948 NC Primary
General Practice Dentistry 1223G0001X DN1856123 MA

Addresses

Primary practice location

351 Wellesley Trade LN Ste 212
Cary, NC 27519-5602

Mailing address

156 Ferrell Rd W
Apex, NC 27523-5816
Phone (615) 424-1462

Other identifiers 1

IdentifierTypeStateIssuer
110093676AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150618000355 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician)Practitioner - Dentist 1557672508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856123MAMDGeneral Practice Dentistry
10948NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arti Dahiya DMD PLLC Pediatric Dentistry CurrentSince May 10, 2020 Accepting new patients

Locations

351 Wellesley Trade Ln
Ste 212
Cary, NC 27519
Phone (919) 267-4211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1245580745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 FERRELL RD W",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275235816",
            "telephone_number": "615-424-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WELLESLEY TRADE LN STE 212",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195602",
            "telephone_number": "919-617-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHIYA",
        "first_name": "ARTI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10948",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093676A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.