NPIMap

Organization Active NPI

Damon R Arne, DDS, PA

  • Customized Equipment (DME)
  • Wilmington, NC
National Provider Identifier
1578868600
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
6953 Issued in NC
Legal business name
DAMON R ARNE, DDS, PA
Practice address
1604 Physicians Dr
Suite 102
Wilmington, NC 28401-7362
Phone
(910) 762-1118
Fax
(910) 762-2285
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Damon R Arne, DDSNPI 1568664183
Title
President
Phone
(910) 762-1118

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6953 NC
Customized Equipment (DME) 332BC3200X 6953 NC Primary

Addresses

Primary practice location

1604 Physicians Dr
Suite 102
Wilmington, NC 28401-7362

Mailing address

1604 Physicians Dr
Suite 102
Wilmington, NC 28401-7362
Phone (910) 762-1118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110212000130 NC DME Supplier - Oral Surgery - Dentist 4486834165 Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

1604 Physicians Dr
Ste 102
Wilmington, NC 28401
Phone (910) 762-1118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1578868600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-762-1118",
            "fax_number": "910-762-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-762-1118",
            "fax_number": "910-762-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON R ARNE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "ARNE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-762-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6953",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "6953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.