NPIMap

Organization Active NPI

Ron Arbuckle DDS PC

  • Dentist
  • Hartford, CT
National Provider Identifier
1770745242
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7628 Issued in CT
Legal business name
RON ARBUCKLE DDS PC
Practice address
21 Woodland St
Suite L-16
Hartford, CT 06105-4318
Phone
(860) 728-6668
Fax
(860) 525-7028
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Ron Arbuckle
Title
President
Phone
(860) 728-6668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7628 CT Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9050 CT

Addresses

Primary practice location

21 Woodland St
Suite L-16
Hartford, CT 06105-4318

Mailing address

21 Woodland St
Suite L-16
Hartford, CT 06105-4318
Phone (860) 728-6668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1770745242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "address_2": "SUITE L-16",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-728-6668",
            "fax_number": "860-525-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOODLAND ST",
            "address_2": "SUITE L-16",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054318",
            "telephone_number": "860-728-6668",
            "fax_number": "860-525-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON ARBUCKLE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-728-6668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "7628",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "9050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.