Individual provider Active NPI

Arlyn Eucaris Fraim, DDS

  • Dentist
  • Oceanside, NY
National Provider Identifier
1346876604
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
063044 Issued in NY
Practice address
3377 Long Beach Rd Unit 1
Oceanside, NY 11572-5063
Phone
(954) 708-3156
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 12952 CT
Dentist 122300000X 063044 NY Primary

Addresses

Primary practice location

3377 Long Beach Rd Unit 1
Oceanside, NY 11572-5063

Mailing address

110 Commons Park N Apt 424
Stamford, CT 06902-7174
Phone (954) 708-3156

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
063044NYMDDentist
12952CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1346876604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COMMONS PARK N APT 424",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027174",
            "telephone_number": "954-708-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 LONG BEACH RD UNIT 1",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725063",
            "telephone_number": "954-708-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIM",
        "first_name": "ARLYN",
        "middle_name": "EUCARIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12952",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.