Individual provider Active NPI

Amir Arad, D.D.S., M.S.

  • Endodontics
  • Santa Barbara, CA
National Provider Identifier
1295176212
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D010646 Issued in AZ
Practice address
4141 State St
Santa Barbara, CA 93110-1814
Phone
(805) 696-1002
Fax
(805) 696-1003
NPI assigned
Jul 8, 2013
Last updated
Dec 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62472 CA
Endodontics 1223E0200X 31520 TX
Endodontics 1223E0200X 62472 CA
Endodontics 1223E0200X D010646 AZ Primary

Addresses

Primary practice location

4141 State St
Santa Barbara, CA 93110-1814

Mailing address

25705 Triesta Way
Yorba Linda, CA 92887-6231
Phone (650) 999-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210405001393 AZ Order and Referring Only - DentistPractitioner - Dentist 9638495419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
31520TXMDClinical Psychologist
D010646AZMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1295176212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25705 TRIESTA WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928876231",
            "telephone_number": "650-999-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-696-1002",
            "fax_number": "805-696-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAD",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62472",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "31520",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "62472",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D010646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.