Organization Active NPI

Arnold Dentistry PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Brandon, FL
National Provider Identifier
1770009649
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ARNOLD DENTISTRY PA
Doing business as
Arnold Dentistry, PA
Practice address
257 W Brandon Blvd
Brandon, FL 33511-5103
Phone
(813) 689-1529
Fax
(813) 684-8595
NPI assigned
Aug 22, 2017
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Dr. Scott Arnold, DMDNPI 1619997681
Title
Owner
Phone
(913) 689-1529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN14255 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

257 W Brandon Blvd
Brandon, FL 33511-5103

Mailing address

257 W Brandon Blvd
Brandon, FL 33511-5103
Phone (813) 689-1529

Other names 1

  • Arnold Dentistry, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228003089 FL Part B Supplier - Clinic/Group Practice 7416327887 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

257 W Brandon Blvd
Brandon, FL 33511
Phone (813) 685-1079

330 E Bloomingdale Ave
Brandon, FL 33511

Practitioners & affiliated clinicians

Practitioners 2

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": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1770009649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115103",
            "telephone_number": "813-689-1529",
            "fax_number": "813-684-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115103",
            "telephone_number": "813-689-1529",
            "fax_number": "813-684-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-689-1529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14255",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnold Dentistry, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.