Individual provider Active NPI

Arlene Jade Wah, DDS

  • Dentist
  • Marion, AR
National Provider Identifier
1801840749
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2950 Issued in AR
Practice address
122 Block St
Marion, AR 72364-1956
Phone
(870) 739-4076
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2950 AR Primary

Addresses

Primary practice location

122 Block St
Marion, AR 72364-1956

Mailing address

122 Block St
Marion, AR 72364-1956
Phone (870) 739-4076

Other identifiers 2

IdentifierTypeStateIssuer
58813OtherARBLUE CROSS BLUE SHIELD
551823OtherUNITED CONCORDIA

Other names 1

  • Arlene Jade Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20160407000097 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800194895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2950ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Henry C Wah DDS Dentist Past Accepting new patients
Stephen R. Wah, D.D.S. Dentist PastSince May 24, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801840749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BLOCK ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641956",
            "telephone_number": "870-739-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BLOCK ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641956",
            "telephone_number": "870-739-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAH",
        "first_name": "ARLENE",
        "middle_name": "JADE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58813",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "551823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLENE",
            "last_name": "WONG",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.