Provider Demographics
NPI:1043502784
Name:ARTHUR G KAISER
Entity Type:Organization
Organization Name:ARTHUR G KAISER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVELIN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BARBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-324-1725
Mailing Address - Street 1:2023 BRUNDAGE LANE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304
Mailing Address - Country:US
Mailing Address - Phone:661-324-1725
Mailing Address - Fax:661-864-1309
Practice Address - Street 1:2023 BRUNDAGE LANE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304
Practice Address - Country:US
Practice Address - Phone:661-324-1725
Practice Address - Fax:661-864-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB20546-09OtherDENTI-CAL
CAB20546-05OtherDENTICAL