Active NPI
Jenna Arcipowski, DMD
- Dentist
- San Antonio, TX
National Provider Identifier
1982393146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39504
- Practice address
- 6064 Ingram Rd
San Antonio, TX 78238-4402 - Phone
- (314) 540-8638
- NPI assigned
- May 3, 2023
- Sex
- Female
- 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 | 39504 | TX | Primary |
Addresses
Primary practice location
6064 Ingram Rd
San Antonio, TX 78238-4402
Mailing address
1626 N Ellison Dr Apt 5102
San Antonio, TX 78251-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241107000460 | MO | Order and Referring Only - Dentist | 1153855622 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39504 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1982393146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 N ELLISON DR APT 5102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782512576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6064 INGRAM RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384402",
"telephone_number": "314-540-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCIPOWSKI",
"first_name": "JENNA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.