Active NPI
Vincent Paul Arata, D.M.D.
- Dentist
- Mobile, AL
National Provider Identifier
1831177484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4279
- Practice address
- 4900 Moffett Rd
Mobile, AL 36618-2222 - Phone
- (251) 343-0404
- Fax
- (251) 343-7645
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4279 | AL | Primary |
Addresses
Primary practice location
4900 Moffett Rd
Mobile, AL 36618-2222
Mailing address
4900 Moffett Rd
Mobile, AL 36618-2222
Phone (251) 343-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90968 | Other | AL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mobile |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200513000987 | AL | Practitioner - Dentist | 3375835655 | Practice locations: Mobile, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4279 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1831177484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MOFFETT RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366182222",
"telephone_number": "251-343-0404",
"fax_number": "251-343-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MOFFETT RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366182222",
"telephone_number": "251-343-0404",
"fax_number": "251-343-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARATA",
"first_name": "VINCENT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "4279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "90968",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mobile",
"affiliation": "N",
"address_1": "4900 Moffett Rd",
"city": "Mobile",
"state": "AL",
"country_code": "US",
"postal_code": "366182222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.