Active NPI
Jose Luis Arocho, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1669589347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7694
- Practice address
- 9010 Glenwater Dr Ste 108
Charlotte, NC 28262-8563 - Phone
- (704) 549-1199
- Fax
- (704) 549-1144
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7694 | NC | Primary |
Addresses
Primary practice location
9010 Glenwater Dr Ste 108
Charlotte, NC 28262-8563
Mailing address
9010 Glenwater Dr Ste 108
Charlotte, NC 28262-8563
Phone (704) 549-1199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902W0 | Other | BLUE CROSS BLUE SHIELD NC | |
| 89-902W0 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7694 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arocho and Matos, DDS, PLLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1457527863
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1669589347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 GLENWATER DR STE 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628563",
"telephone_number": "704-549-1199",
"fax_number": "704-549-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 GLENWATER DR STE 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628563",
"telephone_number": "704-549-1199",
"fax_number": "704-549-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AROCHO",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "902W0",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-902W0",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.