Individual provider Active NPI

Brad W Arenz, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1649328063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6712 Issued in FL
Practice address
3221 S Conway Rd
Ste B
Orlando, FL 32812-7363
Phone
(407) 273-1469
Fax
(407) 273-6298
NPI assigned
Jan 8, 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 6712 FL Primary

Addresses

Primary practice location

3221 S Conway Rd
Ste B
Orlando, FL 32812-7363

Mailing address

3221 S Conway Rd
Ste B
Orlando, FL 32812-7363
Phone (407) 273-1469

Other identifiers 1

IdentifierTypeStateIssuer
66094OtherFLBCBS INSURANCE CO

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649328063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 S CONWAY RD",
            "address_2": "STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127363",
            "telephone_number": "407-273-1469",
            "fax_number": "407-273-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 S CONWAY RD",
            "address_2": "STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127363",
            "telephone_number": "407-273-1469",
            "fax_number": "407-273-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENZ",
        "first_name": "BRAD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "6712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE CO",
            "identifier": "66094",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.