Individual provider Active NPI

Bonnie L Arnould, D.D.S.

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1649315896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4958 Issued in OK
Practice address
7311 S Lewis Ave
Tulsa, OK 74136-6829
Phone
(918) 496-3377
Fax
(918) 491-6970
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
General Practice Dentistry 1223G0001X 4958 OK Primary

Addresses

Primary practice location

7311 S Lewis Ave
Tulsa, OK 74136-6829

Mailing address

7311 S Lewis Ave
Tulsa, OK 74136-6829
Phone (918) 496-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160608000864 OK Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638469372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4958OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnould Dental PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649315896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366829",
            "telephone_number": "918-496-3377",
            "fax_number": "918-491-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366829",
            "telephone_number": "918-496-3377",
            "fax_number": "918-491-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOULD",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.