NPIMap

Organization Active NPI

Dr. Marvin T. Arnsdorff, P.a.

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1215191366
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1089 Issued in SC
Legal business name
DR. MARVIN T. ARNSDORFF, P.A.
Practice address
1004 Anna Knapp Boulevard
Suite 1
Mount Pleasant, SC 29464-3134
Phone
(843) 881-0046
Fax
(843) 881-0098
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Marvin T Arnsdorff, D.C.NPI 1417088840
Title
Physician
Phone
(843) 881-0046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1089 SC Primary

Addresses

Primary practice location

1004 Anna Knapp Boulevard
Suite 1
Mount Pleasant, SC 29464-3134

Mailing address

1004 Anna Knapp Boulevard
Suite 1
Mount Pleasant, SC 29464-3134
Phone (843) 881-0046

Other identifiers 1

IdentifierTypeStateIssuer
CH1089MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Chiropracticusa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1215191366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 ANNA KNAPP BOULEVARD",
            "address_2": "SUITE 1",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643134",
            "telephone_number": "843-881-0046",
            "fax_number": "843-881-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 ANNA KNAPP BOULEVARD",
            "address_2": "SUITE 1",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643134",
            "telephone_number": "843-881-0046",
            "fax_number": "843-881-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARVIN T. ARNSDORFF, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ARNSDORFF",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-881-0046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1089",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.