Individual provider Active NPI

Raymond Joseph Arensdorf, D.C.

  • Chiropractor
  • Santa Maria, CA
National Provider Identifier
1083820997
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 29438 Issued in CA
Practice address
1414 S Miller St
Suite C
Santa Maria, CA 93454-6923
Phone
(805) 346-6700
Fax
(805) 310-5769
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 29438 CA Primary

Addresses

Primary practice location

1414 S Miller St
Suite C
Santa Maria, CA 93454-6923

Mailing address

1414 S Miller St
Suite C
Santa Maria, CA 93454-6923
Phone (805) 346-6700

Other identifiers 1

IdentifierTypeStateIssuer
1062153, CHIROPRATOROtherCAASHN DOC ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 29438CAMDChiropractor

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083820997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546923",
            "telephone_number": "805-346-6700",
            "fax_number": "805-310-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S MILLER ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546923",
            "telephone_number": "805-346-6700",
            "fax_number": "805-310-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENSDORF",
        "first_name": "RAYMOND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 29438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN DOC ID",
            "identifier": "1062153, CHIROPRATOR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.