Individual provider Active NPI

Matthew David Arnall, DDS

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1255599700
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008161 Issued in AZ
Practice address
716 N 110TH St
Mesa, AZ 85207-2234
Phone
(928) 848-2596
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X D008161 AZ
General Practice Dentistry 1223G0001X D4135 ID
General Practice Dentistry 1223G0001X 057826-1 NY
General Practice Dentistry 1223G0001X D008161 AZ Primary

Addresses

Primary practice location

716 N 110TH St
Mesa, AZ 85207-2234

Mailing address

716 N 110TH St
Mesa, AZ 85207-2234
Phone (928) 848-2596

Other identifiers 1

IdentifierTypeStateIssuer
D008161OtherAZARIZONA STATE BOARD OF DENTAL EXAMINERS

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
D008161AZMDGeneral Practice Dentistry
D4135IDMDGeneral Practice Dentistry
057826-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1255599700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N 110TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072234",
            "telephone_number": "928-848-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N 110TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072234",
            "telephone_number": "928-848-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNALL",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "AZ",
            "license": "D008161",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4135",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057826-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "D008161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.