Active NPI
Adam Arnoldt, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Mount Kisco, NY
National Provider Identifier
1871676114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 049711
- Practice address
- 105 S Bedford Rd
Suite 330
Mount Kisco, NY 10549-3441 - Phone
- (914) 242-1142
- Fax
- (914) 242-1147
- NPI assigned
- Oct 23, 2006
- Last updated
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 049711 | NY | Primary |
Addresses
Primary practice location
105 S Bedford Rd
Suite 330
Mount Kisco, NY 10549-3441
Mailing address
105 S Bedford Rd
Suite 330
Mount Kisco, NY 10549-3441
Phone (914) 242-1142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02409378 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049711 | NY | MD | Pharmacist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aarnoldt51455@northwell.direct-ci.com
- aarnoldt839048@nychhc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1871676114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S BEDFORD RD",
"address_2": "SUITE 330",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493441",
"telephone_number": "914-242-1142",
"fax_number": "914-242-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BEDFORD RD",
"address_2": "SUITE 330",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493441",
"telephone_number": "914-242-1142",
"fax_number": "914-242-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLDT",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "049711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02409378",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.