Individual provider Active NPI

Richard Allison Arnaudin, D.D.S.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1518977016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
VA 6249 Issued in VA
Practice address
1000 First Colonial Rd Ste 104
Virginia Beach, VA 23454-3000
Phone
(757) 496-0993
Fax
(757) 496-8137
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
General Practice Dentistry 1223G0001X VA 6249 VA Primary

Addresses

Primary practice location

1000 First Colonial Rd Ste 104
Virginia Beach, VA 23454-3000

Mailing address

2105 Cutler RDG
Virginia Beach, VA 23454-2806
Phone (757) 481-0204

Other identifiers 1

IdentifierTypeStateIssuer
54-16938365OtherVATAX I.D.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204001770 VA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971807363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VA 6249VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518977016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 CUTLER RDG",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542806",
            "telephone_number": "757-481-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FIRST COLONIAL RD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543000",
            "telephone_number": "757-496-0993",
            "fax_number": "757-496-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNAUDIN",
        "first_name": "RICHARD",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA 6249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.",
            "identifier": "54-16938365",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.