Individual provider Active NPI

Reema M Arnouk, DDS

  • Dentist
  • Glendora, CA
National Provider Identifier
1316282981
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41655 Issued in CA
Practice address
210 S Grand Ave Ste 420
Glendora, CA 91741-4294
Phone
(626) 963-3322
Fax
(626) 963-3399
NPI assigned
Dec 7, 2012
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41655 CA Primary

Addresses

Primary practice location

210 S Grand Ave Ste 420
Glendora, CA 91741-4294

Mailing address

210 S Grand Ave Ste 420
Glendora, CA 91741-4294
Phone (626) 963-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210310001974 CA Practitioner - Oral Surgery 9032525365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41655CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnouk DDS Inc CurrentSince Dec 4, 2020 Accepting new patients
Reema Arnouk, D.D.S., Inc. CurrentSince Feb 23, 2018 Accepting new patients

Locations

210 S Grand Ave
Ste 420
Glendora, CA 91741
Phone (316) 300-8959

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1316282981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 420",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414294",
            "telephone_number": "626-963-3322",
            "fax_number": "626-963-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 420",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414294",
            "telephone_number": "626-963-3322",
            "fax_number": "626-963-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOUK",
        "first_name": "REEMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.