NPIMap

Organization Active NPI

Arrowhead Dental Association

  • General Practice Dentistry
  • Charlestown, RI
National Provider Identifier
1710022371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARROWHEAD DENTAL ASSOCIATION
Practice address
4995 S County TRL
Charlestown, RI 02813-3182
Phone
(401) 364-6300
Fax
(401) 364-9190
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrie Straight
Title
Insurance Coordinator
Phone
(401) 364-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X RI Primary

Addresses

Primary practice location

4995 S County TRL
Charlestown, RI 02813-3182

Mailing address

4995 S County TRL
P. O. Box 850
Charlestown, RI 02813-3182
Phone (401) 364-6300

National Provider Directory

National Provider Directory
Tax ID family
Arrowhead Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4995 S County Trl
Charlestown, RI 02813
Phone (401) 364-6300

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710022371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "address_2": "P. O. BOX 850",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD DENTAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAIGHT",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "401-364-6300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.