Organization Active NPI

Arena Dental Associates, PC

  • General Practice Dentistry
  • Oswego, NY
National Provider Identifier
1548723596
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARENA DENTAL ASSOCIATES, PC
Practice address
63 W 2ND St
Oswego, NY 13126-1515
Phone
(315) 343-5945
Fax
(315) 343-5955
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Mrs. Jennifer Arena, LPN
Title
Spouse
Phone
(315) 343-5945

Specialties & licenses 1

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

Addresses

Primary practice location

63 W 2ND St
Oswego, NY 13126-1515

Mailing address

63 W 2ND St
Oswego, NY 13126-1515
Phone (315) 343-5945

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjadmd63@centralny.twcbc.com

National Provider Directory

National Provider Directory

Locations

63 W 2nd St
Oswego, NY 13126
Phone (315) 343-5945

Practitioners & affiliated clinicians

Practitioners 2

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": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1548723596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W 2ND ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261515",
            "telephone_number": "315-343-5945",
            "fax_number": "315-343-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W 2ND ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261515",
            "telephone_number": "315-343-5945",
            "fax_number": "315-343-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARENA DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPOUSE",
        "authorized_official_telephone_number": "315-343-5945",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjadmd63@centralny.twcbc.com",
            "affiliation": "N",
            "address_1": "63 W 2nd St",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131261515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.