Individual provider Active NPI

Vincent Paul Arata, D.M.D.

  • Dentist
  • Mobile, AL
National Provider Identifier
1831177484
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4279 Issued in AL
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

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90968OtherALBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513000987 AL Practitioner - Dentist 3375835655 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4279ALMDProfessional 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

Verify at the official NPI Registry.