Active NPI
Jatin Arora, DDS
- Dentist
- Elk Grove, CA
National Provider Identifier
1558973230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105342
- Practice address
- 9640 Bruceville Rd
Elk Grove, CA 95757-5936 - Phone
- (503) 819-6386
- NPI assigned
- Aug 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105342 | CA | Primary |
Addresses
Primary practice location
9640 Bruceville Rd
Elk Grove, CA 95757-5936
Mailing address
145 Irving St Ste 206a
San Francisco, CA 94122-2773
Phone (503) 819-6386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105342 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598140800000",
"number": "1558973230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 IRVING ST STE 206A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222773",
"telephone_number": "503-819-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9640 BRUCEVILLE RD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957575936",
"telephone_number": "503-819-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARORA",
"first_name": "JATIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-23",
"last_updated": "2020-08-23",
"certification_date": "2020-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.