Active NPI
Jimmy W Arnold, DMD
- Endodontics
- Macon, GA
National Provider Identifier
1497962997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 011189
- 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.
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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.
-
- Endodontics
- Macon, GA
- NPI 1194136929
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.