Individual provider Active NPI

Sara Van Arsdall, D.M.D.

  • Pediatric Dentistry
  • Harker Heights, TX
National Provider Identifier
1902229552
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
32509 Issued in TX
Practice address
120 W Central Texas Expy Ste 200
Harker Heights, TX 76548-7406
Phone
(254) 699-4543
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 224 HI
Pediatric Dentistry 1223P0221X 32509 TX Primary

Addresses

Primary practice location

120 W Central Texas Expy Ste 200
Harker Heights, TX 76548-7406

Mailing address

8732 E Norcroft Cir
Mesa, AZ 85207-1435
Phone (480) 305-4071

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

LicenseStateTypeSpecialty
32509TXMDPsychologist
224HIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Toothfairy Industries, PLLC Pediatric Dentistry Current Accepting new patients
Killeen Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1902229552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8732 E NORCROFT CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071435",
            "telephone_number": "480-305-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CENTRAL TEXAS EXPY STE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487406",
            "telephone_number": "254-699-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ARSDALL",
        "first_name": "SARA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "224",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "32509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.