Carla Kruyff Arciniega, MS, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859525 Issued in MA

Practice address

14 Upland Rd
Cambridge, MA 02140-2712

Phone

(617) 547-3934

NPI assigned

Jun 14, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Porter Square Family Dental

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1417182437
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1245960046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 REVERE ST APT 7",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021144314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UPLAND RD",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402712",
            "telephone_number": "617-547-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUYFF ARCINIEGA",
        "first_name": "CARLA",
        "credential": "MS, DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Kronstein, DDS
• Lindsey A Krueger-Grgurich, PHARMD, BCACP
• Thomas E Krueger, M.D.
• Judith E Krulewitz, PH.D.
• Tyler Eric Krutiak, PHARMD, RPH
• Paula Krzywicki, RDN, LDN
• James C Ku, MD
• William Kubik
• Karsten Dirk Kueppenbender, M.D., C.G.P.
• Cassandra Kugler, CNM, WHNP-BC

• General Practice Dentistry in Cambridge, MA
• Providers in Cambridge, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.