Individual provider Active NPI

Albert R Arcand, DMD

  • General Practice Dentistry
  • West Warwick, RI
National Provider Identifier
1669458071
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02490 Issued in RI
Practice address
1079 Main Street
Suite B
West Warwick, RI 02893
Phone
(401) 826-2833
Fax
(401) 826-2833
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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 02490 RI Primary

Addresses

Primary practice location

1079 Main Street
Suite B
West Warwick, RI 02893

Mailing address

1079 Main Street
Suite B
West Warwick, RI 02893
Phone (401) 826-2833

Other identifiers 2

IdentifierTypeStateIssuer
02490OtherRIRI LICENSE #
050487385OtherRITAX IDENTIFICATION #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
02490RIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1669458071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 MAIN STREET",
            "address_2": "SUITE B",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-826-2833",
            "fax_number": "401-826-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 MAIN STREET",
            "address_2": "SUITE B",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-826-2833",
            "fax_number": "401-826-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCAND",
        "first_name": "ALBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "02490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI LICENSE #",
            "identifier": "02490",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "050487385",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.