NPIMap

Organization Active NPI

Fernando a Marchetti DDS

Doing business as ARC Dental

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1265644744
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33805 Issued in CA
Legal business name
FERNANDO A MARCHETTI DDS
Doing business as
ARC Dental
Practice address
1801 H Street
Suite A7
Modesto, CA 95354
Phone
(209) 572-1722
Fax
(209) 491-2010
NPI assigned
May 4, 2007
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Dr. Fernando A Marchetti, DDS, QMENPI 1669589149
Title
Owner
Phone
(209) 572-1739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33805 CA Primary

Addresses

Primary practice location

1801 H Street
Suite A7
Modesto, CA 95354

Mailing address

1801 H Street
Suite A7
Modesto, CA 95354
Phone (209) 572-1722

Other identifiers 2

IdentifierTypeStateIssuer
B33805-01MedicaidCA
33805OtherCALICENSE NUMBER

Other names 1

  • ARC Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1801 H St
Ste A7
Modesto, CA 95354
Phone (209) 572-1722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1265644744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 H STREET",
            "address_2": "SUITE A7",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "209-572-1722",
            "fax_number": "209-491-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 H STREET",
            "address_2": "SUITE A7",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95354",
            "telephone_number": "209-572-1722",
            "fax_number": "209-491-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO A MARCHETTI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-572-1739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, QME"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33805-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "33805",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.