Active NPI
Arnold None Gayles
- Driver
- Drakes Branch, VA
National Provider Identifier
1811415722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T62214993
- Practice address
- 14817 Kings Hwy
Drakes Branch, VA 23937-2526 - Phone
- (434) 470-4417
- NPI assigned
- Aug 31, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | T62214993 | VA | Primary |
Addresses
Primary practice location
14817 Kings Hwy
Drakes Branch, VA 23937-2526
Mailing address
111 Hedgerow Dr
Halifax, VA 24558-3092
Phone (434) 470-4417
Other practice location 1
111 Hedgerow Dr
Halifax, VA 24558-3092
Phone (434) 470-4417
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 |
|---|---|---|---|
| T62214993 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811415722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HEDGEROW DR",
"city": "HALIFAX",
"state": "VA",
"postal_code": "245583092",
"telephone_number": "434-470-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14817 KINGS HWY",
"city": "DRAKES BRANCH",
"state": "VA",
"postal_code": "239372526",
"telephone_number": "434-470-4417"
}
],
"practiceLocations": [
{
"address_1": "111 Hedgerow Dr",
"address_purpose": "LOCATION",
"city": "Halifax",
"state": "VA",
"postal_code": "245583092",
"country_code": "US",
"telephone_number": "434-470-4417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAYLES",
"first_name": "ARNOLD",
"middle_name": "NONE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T62214993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Drakes Branch, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.