Active NPI
Carmen Doris Arzola, D.D.S
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1730360280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048262
- Practice address
- 1414 Metropolitan Ave
Suite 7
Bronx, NY 10462-7443 - Phone
- (718) 430-6996
- Fax
- (718) 430-1793
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 048262 | NY | Primary |
Addresses
Primary practice location
1414 Metropolitan Ave
Suite 7
Bronx, NY 10462-7443
Mailing address
1414 Metropolitan Ave
Suite 7
Bronx, NY 10462-7443
Phone (718) 430-6996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01975002 | Medicaid | NY |
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 |
|---|---|---|---|
| 048262 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1730360280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 METROPOLITAN AVE",
"address_2": "SUITE 7",
"city": "BRONX",
"state": "NY",
"postal_code": "104627443",
"telephone_number": "718-430-6996",
"fax_number": "718-430-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 METROPOLITAN AVE",
"address_2": "SUITE 7",
"city": "BRONX",
"state": "NY",
"postal_code": "104627443",
"telephone_number": "718-430-6996",
"fax_number": "718-430-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARZOLA",
"first_name": "CARMEN",
"middle_name": "DORIS",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01975002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.