Individual provider Active NPI

Carlos A Arango, DMD

  • Dentist
  • Doral, FL
National Provider Identifier
1639370695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 17347 Issued in FL
Practice address
5640 NW 115TH CT
Unit 206
Doral, FL 33178-4179
Phone
(786) 303-7791
NPI assigned
May 29, 2007
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
Dentist 122300000X DN 17347 FL Primary

Addresses

Primary practice location

5640 NW 115TH CT
Unit 206
Doral, FL 33178-4179

Mailing address

5640 NW 115TH CT
Unit 206
Doral, FL 33178-4179
Phone (786) 303-7791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150317002703 FL Order and Referring Only - DentistPractitioner - Dentist 6002133725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 17347FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639370695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 NW 115TH CT",
            "address_2": "UNIT 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784179",
            "telephone_number": "786-303-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 NW 115TH CT",
            "address_2": "UNIT 206",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784179",
            "telephone_number": "786-303-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANGO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.