Active NPI
Joseph L Arena, DDS
- Dentist
- Waterloo, WI
National Provider Identifier
1447445465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5000996
- Practice address
- 245 N Monroe St
DRS Anderson & Arena
Waterloo, WI 53594-1126 - Phone
- (920) 478-2850
- Fax
- (920) 478-3768
- NPI assigned
- Sep 12, 2007
- Last updated
- Sep 12, 2007
- 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 | 5000996 | WI | Primary |
Addresses
Primary practice location
245 N Monroe St
DRS Anderson & Arena
Waterloo, WI 53594-1126
Mailing address
245 N Monroe St
DRS Anderson & Arena
Waterloo, WI 53594-1126
Phone (920) 478-2850
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 |
|---|---|---|---|
| 5000996 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Anderson & Arena | Past | Accepting new patients | |
| Waterloo Family Dental, | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Waterloo, WI
- NPI 1073672440
-
- General Practice Dentistry
- Waterloo, WI
- NPI 1437571320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1447445465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N MONROE ST",
"address_2": "DRS ANDERSON & ARENA",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535941126",
"telephone_number": "920-478-2850",
"fax_number": "920-478-3768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N MONROE ST",
"address_2": "DRS ANDERSON & ARENA",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535941126",
"telephone_number": "920-478-2850",
"fax_number": "920-478-3768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENA",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5000996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.