Individual provider Active NPI

Arlynn Genise Raez, DDS

  • Periodontics
  • San Antonio, TX
National Provider Identifier
1871597146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
14117 Issued in TX
Practice address
3301 Oakwell Court
Suite #103
San Antonio, TX 78218-1778
Phone
(210) 805-8400
Fax
(210) 805-8450
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 14117 TX Primary
Periodontics 1223P0300X 40489 CA

Addresses

Primary practice location

3301 Oakwell Court
Suite #103
San Antonio, TX 78218-1778

Mailing address

3301 Oakwell Court
Suite #103
San Antonio, TX 78218-1778
Phone (210) 805-8400

Other names 1

  • Arlynn Genise Hainline Former name

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
14117TXMDChiropractor
40489CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871597146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 OAKWELL COURT",
            "address_2": "SUITE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181778",
            "telephone_number": "210-805-8400",
            "fax_number": "210-805-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OAKWELL COURT",
            "address_2": "SUITE #103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181778",
            "telephone_number": "210-805-8400",
            "fax_number": "210-805-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEZ",
        "first_name": "ARLYNN",
        "middle_name": "GENISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "14117",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "40489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLYNN",
            "last_name": "HAINLINE",
            "middle_name": "GENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.