NPIMap

Organization Active NPI

Keven P Arnold DDS PC

  • General Practice Dentistry
  • St Charles, IL
National Provider Identifier
1447666003
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019021317 Issued in IL
Legal business name
KEVEN P ARNOLD DDS PC
Practice address
2020 Dean St Ste C
St Charles, IL 60174-1665
Phone
(630) 443-4545
Fax
(630) 443-4445
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Keven Arnold, DDSNPI 1942350541
Title
President
Phone
(630) 443-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019021317 IL Primary

Addresses

Primary practice location

2020 Dean St Ste C
St Charles, IL 60174-1665

Mailing address

2020 Dean St Ste C
St Charles, IL 60174-1665
Phone (630) 443-4545

National Provider Directory

National Provider Directory

Locations

2020 Dean St
Ste C
St Charles, IL 60174
Phone (630) 443-4545

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1447666003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 DEAN ST STE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741665",
            "telephone_number": "630-443-4545",
            "fax_number": "630-443-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DEAN ST STE C",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741665",
            "telephone_number": "630-443-4545",
            "fax_number": "630-443-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVEN P ARNOLD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-443-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019021317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.