Active NPI
Fred Andrew Flores Arino, DMD
- Dentist
- Philadelphia, PA
National Provider Identifier
1922660448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041986
- Practice address
- 330 W Oregon Ave Ste H
Philadelphia, PA 19148-4723 - Phone
- (215) 467-3190
- NPI assigned
- Jul 4, 2019
- Last updated
- Jul 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS041986 | PA | Primary |
Addresses
Primary practice location
330 W Oregon Ave Ste H
Philadelphia, PA 19148-4723
Mailing address
2040 Fair Park Ave Apt 105
Los Angeles, CA 90041-1986
Phone (323) 715-7577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041986 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562198400000",
"number": "1922660448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 FAIR PARK AVE APT 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411986",
"telephone_number": "323-715-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W OREGON AVE STE H",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191484723",
"telephone_number": "215-467-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARINO",
"first_name": "FRED ANDREW",
"middle_name": "FLORES",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-04",
"last_updated": "2019-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.