Individual provider Active NPI

Arvin Kadempour, DDS

  • Prosthodontics
  • New York, NY
National Provider Identifier
1265738074
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
058570 Issued in NY
Practice address
421 1St Ave FL 3W
New York, NY 10010-4001
Phone
(212) 998-9515
Fax
(212) 995-4289
NPI assigned
Jan 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60140 CA
Prosthodontics 1223P0700X 058570 NY Primary

Addresses

Primary practice location

421 1St Ave FL 3W
New York, NY 10010-4001

Mailing address

421 1St Ave FL 3W
New York, NY 10010-4001
Phone (212) 998-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260331002877 NY Order and Referring Only - DentistPractitioner - Dentist 5496230112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058570NYMDProsthodontist
60140CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265738074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 1ST AVE FL 3W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104001",
            "telephone_number": "212-998-9515",
            "fax_number": "212-995-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 1ST AVE FL 3W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104001",
            "telephone_number": "212-998-9515",
            "fax_number": "212-995-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADEMPOUR",
        "first_name": "ARVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60140",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "058570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.