Organization Active NPI

Raul Eduardo Arrechea D.D.S. Inc.

  • Dentist
  • National City, CA
National Provider Identifier
1912458993
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58001 Issued in CA
Legal business name
RAUL EDUARDO ARRECHEA D.D.S. INC.
Practice address
2016 Highland Ave
National City, CA 91950-5835
Phone
(619) 477-3770
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mr. Raul Eduardo Arrechea, D.D.S.NPI 1487891313
Title
Owner/Dentist
Phone
(619) 477-3770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 58001 CA Primary

Addresses

Primary practice location

2016 Highland Ave
National City, CA 91950-5835

Mailing address

2016 Highland Ave
National City, CA 91950-5835
Phone (619) 477-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001669 CA Part B Supplier - Clinic/Group Practice 2264713700 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA

National Provider Directory

National Provider Directory
Tax ID family
Raul Eduardo Arrechea DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1912458993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505835",
            "telephone_number": "619-477-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505835",
            "telephone_number": "619-477-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL EDUARDO ARRECHEA D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ARRECHEA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "619-477-3770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.