Individual provider Active NPI

Arnold None Gayles

  • Driver
  • Drakes Branch, VA
National Provider Identifier
1811415722
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
T62214993 Issued in VA
Practice address
14817 Kings Hwy
Drakes Branch, VA 23937-2526
Phone
(434) 470-4417
NPI assigned
Aug 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
T62214993VAMDDriver

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.

Verify at the official NPI Registry.