Individual provider Active NPI

Michael C Arena, IDMT

  • Independent Duty Medical Technicians
  • Tucson, AZ
National Provider Identifier
1881822948
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
4625 South Phoenix Street
BLDG 4843
Tucson, AZ 85707-0000
Phone
(520) 228-4848
Fax
(520) 228-6458
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

4625 South Phoenix Street
BLDG 4843
Tucson, AZ 85707-0000

Mailing address

4625 South Phoenix Street
BLDG 4843, Davis Monthan AFB
Tucson, AZ 85707
Phone (520) 228-4848

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

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1881822948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SOUTH PHOENIX STREET",
            "address_2": "BLDG 4843, DAVIS MONTHAN AFB",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85707",
            "telephone_number": "520-228-4848",
            "fax_number": "520-228-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 SOUTH PHOENIX STREET",
            "address_2": "BLDG 4843",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857070000",
            "telephone_number": "520-228-4848",
            "fax_number": "520-228-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENA",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.