Organization Active NPI

Arnold Professional LLC

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1083622005
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARNOLD PROFESSIONAL LLC
Practice address
5161 E Arapahoe Rd
#290
Centennial, CO 80122
Phone
(720) 488-0055
Fax
(720) 488-3955
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Jennifer W Arnold, MD
Title
MD Owner
Phone
(720) 488-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5161 E Arapahoe Rd
#290
Centennial, CO 80122

Mailing address

5161 E Arapahoe Rd
#290
Centennial, CO 80122
Phone (720) 488-0055

Other identifiers 1

IdentifierTypeStateIssuer
60521040MedicaidCO

Other names 1

  • Village Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1083622005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "#290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "#290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "720-488-0055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60521040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.