Individual provider Active NPI

Kelly L Arnold, DMD

  • General Practice Dentistry
  • West Chester, OH
National Provider Identifier
1285785337
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21696 Issued in OH
Practice address
5900 West Chester Road, Suite a
West Chester, OH 45069
Phone
(513) 942-8181
Fax
(513) 682-6188
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21696 OH Primary

Addresses

Primary practice location

5900 West Chester Road, Suite a
West Chester, OH 45069

Mailing address

5900 West Chester Road, Suite a
West Chester, OH 45069
Phone (513) 942-8181

Other identifiers 1

IdentifierTypeStateIssuer
21696OtherOHLICENSE

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
21696OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Chester Dental Group General Practice Past Accepting new patients
Columbia Pike Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285785337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 WEST CHESTER ROAD, SUITE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-942-8181",
            "fax_number": "513-682-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 WEST CHESTER ROAD, SUITE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-942-8181",
            "fax_number": "513-682-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.