Organization Active NPI

Jimmy W Arnold, DMD

  • Endodontics
  • Macon, GA
National Provider Identifier
1497962997
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
011189 Issued in GA
Legal business name
JIMMY W ARNOLD, DMD
Practice address
152 N Crest Blvd
Suite a
Macon, GA 31210-1846
Phone
(478) 757-9620
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
JIMMY W. ARNOLD, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Dr. Jimmy Wayne Arnold, D.M.D.NPI 1194136929
Title
President
Phone
(478) 757-9620

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 011189 GA Primary

Addresses

Primary practice location

152 N Crest Blvd
Suite a
Macon, GA 31210-1846

Mailing address

152 N Crest Blvd
Suite a
Macon, GA 31210-1846
Phone (478) 757-9620

National Provider Directory

National Provider Directory
Part of
Jimmy W Arnold DMD

Locations

152 N Crest Blvd
Ste A
Macon, GA 31210
Phone (478) 757-9620

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1497962997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N CREST BLVD",
            "address_2": "SUITE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101846",
            "telephone_number": "478-757-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N CREST BLVD",
            "address_2": "SUITE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101846",
            "telephone_number": "478-757-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY W ARNOLD, DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JIMMY W. ARNOLD, D.M.D., P.C.",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-757-9620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "011189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.