Individual provider Active NPI

Phillip Arsuffi, DMD

  • Dentist
  • New Middletown, OH
National Provider Identifier
1710448055
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.026028 Issued in OH
Practice address
10309 Main St
New Middletown, OH 44442-9717
Phone
(330) 542-9812
NPI assigned
Mar 28, 2019
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.026028 OH Primary

Addresses

Primary practice location

10309 Main St
New Middletown, OH 44442-9717

Mailing address

761 Glenbrook Rd
Youngstown, OH 44512-2506
Phone (330) 503-0859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190709001521 OH Order and Referring Only - DentistPractitioner - Dentist 5799010088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026028OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip Arsuffi DMD LLC CurrentSince Nov 1, 2022 Accepting new patients
Warren Dental Associates, Jeffrey S. Rosenthal, D.D.S., Inc. PastSince Dec 21, 2021 Accepting new patients

Locations

10309 Main St
New Middletown, OH 44442
Phone (330) 542-9812

Organizations & group practices 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1710448055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 GLENBROOK RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445122506",
            "telephone_number": "330-503-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 MAIN ST",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444429717",
            "telephone_number": "330-542-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSUFFI",
        "first_name": "PHILLIP",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Middletown, OH

Sources for this page

Verify at the official NPI Registry.