Individual provider Active NPI

Nelson Arizmendi, DMD

  • Dentist
  • Toa Baja, PR
National Provider Identifier
1992814198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1546 Issued in PR
Practice address
HP16 Calle Amalia Paoli
7Ma Seccion Levittown
Toa Baja, PR 00949-3606
Phone
(787) 784-0282
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1546 PR Primary

Addresses

Primary practice location

HP16 Calle Amalia Paoli
7Ma Seccion Levittown
Toa Baja, PR 00949-3606

Mailing address

PO Box 1043
Lajas, PR 00667-1043
Phone (787) 899-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000196 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254633381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc Past Accepting new patients
Joseph Negron Caban General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992814198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671043",
            "telephone_number": "787-899-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HP16 CALLE AMALIA PAOLI",
            "address_2": "7MA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493606",
            "telephone_number": "787-784-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIZMENDI",
        "first_name": "NELSON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.