Individual provider Active NPI

Arkady T. Naiman, D.M.D.

  • General Practice Dentistry
  • Plainville, MA
National Provider Identifier
1265528608
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18217 Issued in MA
Practice address
6 Wilkens Dr Ste 204
Plainville, MA 02762-5019
Phone
(508) 695-7674
Fax
(508) 643-9189
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18217 MA Primary

Addresses

Primary practice location

6 Wilkens Dr Ste 204
Plainville, MA 02762-5019

Mailing address

6 Wilkens Dr Ste 204
Plainville, MA 02762-5019
Phone (508) 695-7674

Other identifiers 1

IdentifierTypeStateIssuer
18217OtherMALICENSE NUMBER

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
I20091118000390 MA Practitioner - Oral Surgery 2163560764 Practice locations: Plainville, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18217MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1265528608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILKENS DR STE 204",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027625019",
            "telephone_number": "508-695-7674",
            "fax_number": "508-643-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WILKENS DR STE 204",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027625019",
            "telephone_number": "508-695-7674",
            "fax_number": "508-643-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIMAN",
        "first_name": "ARKADY",
        "middle_name": "T.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "18217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

Verify at the official NPI Registry.