Individual provider Active NPI

Arash Arad, M.B.A., D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redlands, CA
National Provider Identifier
1760808158
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
65051 Issued in CA
Practice address
1713 Smiley RDG
Redlands, CA 92373-6575
Phone
(909) 705-6697
NPI assigned
Mar 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 65051 CA Primary

Addresses

Primary practice location

1713 Smiley RDG
Redlands, CA 92373-6575

Mailing address

30 Via Divertirse
San Clemente, CA 92673-7014
Phone (909) 705-6697

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
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1760808158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VIA DIVERTIRSE",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737014",
            "telephone_number": "909-705-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 SMILEY RDG",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736575",
            "telephone_number": "909-705-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAD",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "M.B.A., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "65051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.