Active NPI
Eran Arvilli, DDS
- Dentist
- Center Moriches, NY
National Provider Identifier
1336215250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0485781
- Practice address
- 760 Montauk Highway
Suite 6
Center Moriches, NY 11934 - Phone
- (631) 874-4707
- Fax
- (631) 874-4720
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0485781 | NY | Primary |
Addresses
Primary practice location
760 Montauk Highway
Suite 6
Center Moriches, NY 11934
Mailing address
4 Horseshoe Lane
Center Moriches, NY 11934
Phone (631) 909-2222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0485781 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jayadevan DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Center Moriches, NY
- NPI 1194997460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336215250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HORSESHOE LANE",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "11934",
"telephone_number": "631-909-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 MONTAUK HIGHWAY",
"address_2": "SUITE 6",
"city": "CENTER MORICHES",
"state": "NY",
"postal_code": "11934",
"telephone_number": "631-874-4707",
"fax_number": "631-874-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVILLI",
"first_name": "ERAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0485781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Moriches, NY
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.