Active NPI
Kelly D Arnold, D.C.
- Chiropractor
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034542
- Practice address
- 3410 Woburn St # 202
Bellingham, WA 98226-5643 - Phone
- (360) 752-0061
- NPI assigned
- Nov 17, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034542 | WA | Primary |
Addresses
Primary practice location
3410 Woburn St # 202
Bellingham, WA 98226-5643
Mailing address
1121 Sudden Vly
Bellingham, WA 98229-4829
Phone (360) 715-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031896 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1151 Ellis St
Suite 104
Bellingham, WA 98225-5245
Phone (360) 752-0061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034542 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barkley Chiropractic, PS | Chiropractor | Current | Accepting new patients |
| Bellingham Performance Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
1151 Ellis St
Ste 104
Bellingham, WA 98225
Phone (360) 752-0061
3410 Woburn St
Ste 202
Bellingham, WA 98226
Phone (360) 738-8877
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bellingham, WA
- NPI 1972583136
-
dba Performance Chiropractic Bellingham LLC
- Chiropractor
- Bellingham, WA
- NPI 1629338017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174697791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 SUDDEN VLY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982294829",
"telephone_number": "360-715-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 WOBURN ST # 202",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982265643",
"telephone_number": "360-752-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KELLY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031896",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
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.
- 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.