Individual provider Active NPI

Gary Arthur, D.C.

  • Nutrition Chiropractor
  • Laguna Beach, CA
National Provider Identifier
1033101282
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC18730 Issued in CA
Practice address
330 Park Ave
Suite 3
Laguna Beach, CA 92651-2352
Phone
(949) 497-2553
Fax
(949) 497-5273
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC18730 CA Primary

Addresses

Primary practice location

330 Park Ave
Suite 3
Laguna Beach, CA 92651-2352

Mailing address

330 Park Ave
Suite 3
Laguna Beach, CA 92651-2352
Phone (949) 497-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000064 CA Practitioner - ChiropracticPractitioner - Physical Medicine and RehabilitationPractitioner - Critical Care (Intensivists) 5294891057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Critical Care (Intensivists), Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Arthur Professional Chiropractic CorporationGroup PAC ID 5193881951, 4 clinicians

Practice addresses (Care Compare)

330 Park Ave
Laguna Beach, CA 92651-2352
Phone (949) 497-2553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC18730CAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Professional Chiropractic Corporation CurrentSince Feb 5, 2008 Accepting new patients

Locations

330 Park Ave
Ste 3
Laguna Beach, CA 92651
Phone (949) 497-2553

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1033101282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PARK AVE",
            "address_2": "SUITE 3",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512352",
            "telephone_number": "949-497-2553",
            "fax_number": "949-497-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PARK AVE",
            "address_2": "SUITE 3",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512352",
            "telephone_number": "949-497-2553",
            "fax_number": "949-497-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC18730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.