Individual provider Active NPI

Arnold T McClain, D.D.S., M.S.

  • Periodontics
  • Durham, NC
National Provider Identifier
1396941589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6920 Issued in NC
Practice address
5015 Southpark Dr
Suite 130
Durham, NC 27713-7736
Phone
(919) 484-8338
Fax
(919) 484-8308
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

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
Periodontics 1223P0300X 6920 NC Primary

Addresses

Primary practice location

5015 Southpark Dr
Suite 130
Durham, NC 27713-7736

Mailing address

5015 Southpark Dr
Suite 130
Durham, NC 27713-7736
Phone (919) 484-8338

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396941589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 SOUTHPARK DR",
            "address_2": "SUITE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137736",
            "telephone_number": "919-484-8338",
            "fax_number": "919-484-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SOUTHPARK DR",
            "address_2": "SUITE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137736",
            "telephone_number": "919-484-8338",
            "fax_number": "919-484-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ARNOLD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

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.