Organization Active NPI

Robert L Arnold DDS Inc

  • General Practice Physician
  • Fort Wayne, IN
National Provider Identifier
1619044047
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12007213 Issued in IN
Legal business name
ROBERT L ARNOLD DDS INC
Practice address
5800 Fairfield Ave
Suite 220
Fort Wayne, IN 46807-3437
Phone
(260) 456-6073
Fax
(260) 744-9251
NPI assigned
Nov 29, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Robert L Arnold, DDS
Title
General Practitioner
Phone
(260) 456-6073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 12007213 IN Primary

Addresses

Primary practice location

5800 Fairfield Ave
Suite 220
Fort Wayne, IN 46807-3437

Mailing address

5800 Fairfield Ave
Suite 220
Fort Wayne, IN 46807-3437
Phone (260) 456-6073

National Provider Directory

National Provider Directory

Locations

5800 Fairfield Ave
Ste 220
Fort Wayne, IN 46807
Phone (260) 456-6073

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1619044047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE",
            "address_2": "SUITE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073437",
            "telephone_number": "260-456-6073",
            "fax_number": "260-744-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE",
            "address_2": "SUITE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073437",
            "telephone_number": "260-456-6073",
            "fax_number": "260-744-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L ARNOLD DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL PRACTITIONER",
        "authorized_official_telephone_number": "260-456-6073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": "12007213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.