Individual provider Active NPI

Breann Joy Arentsen, D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1124551064
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4220 Issued in SC
Practice address
1907 Varner St Ste C2
Summerville, SC 29486-8104
Phone
(483) 419-6955
Fax
(843) 484-3640
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4220 SC Primary

Addresses

Primary practice location

1907 Varner St Ste C2
Summerville, SC 29486-8104

Mailing address

309 Scholar Way
Summerville, SC 29486-2091
Phone (414) 839-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519001447 SC Practitioner - Chiropractic 0244507325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4220SCMDChiropractor
4220SCMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Arentsen Family Chiropractic LLC Chiropractor CurrentSince May 4, 2021 Accepting new patients

Locations

1907 Varner St
Ste C2
Summerville, SC 29486
Phone (414) 839-9220

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arentsen Family Chiropractic LLC 2 clinicians

Practice addresses (Care Compare)

1907 Varner St
Suite C2
Summerville, SC 29486-8104
Phone (843) 419-6955

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1124551064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SCHOLAR WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862091",
            "telephone_number": "414-839-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 VARNER ST STE C2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868104",
            "telephone_number": "483-419-6955",
            "fax_number": "843-484-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENTSEN",
        "first_name": "BREANN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC4220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.