Paul S Arnold Jr., DMD

Key facts

NPI

1912049685

Entity type

Individual (NPI type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) 1223S0112X

License

7893 (KY)

Practice address

550 S Jackson St
Acb 2ND FL
Louisville, KY 40292-0001

Phone

(502) 852-7660

Fax

(502) 852-8551

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Opted out of Medicare

Yes, effective May 13, 2014 through May 13, 2028

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912049685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 CREEKVIEW RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599006",
            "telephone_number": "502-852-7660",
            "fax_number": "502-852-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "address_2": "ACB 2ND FL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402920001",
            "telephone_number": "502-852-7660",
            "fax_number": "502-852-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

• Kallie Jo Arnold, LMT
• Kasi Lynn Arnold
• Kelsey Arnold, MMS, PA-C
• Lindsay Flynn Arnold
• Lisa Arnold, M.S, R.D, C.D.E
• Randolph David Arnold, LPAT
• Robert Evans Arnold, M.D.
• Santina Arnold, APRN
• Charlotte Mary Arnos, OTD, OTR/L
• Jeffrey Arnsperger, P.T.

All providers in Louisville, KY · Oral and Maxillofacial Surgery (Dentist) in Kentucky