Individual provider Active NPI

Brian Lee Arvold, DC

  • Chiropractor
  • Oakdale, MN
National Provider Identifier
1245364124
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003802 Issued in MN
Practice address
5685 Geneva Ave. N.
Oakdale, MN 55128-1018
Phone
(651) 770-2283
Fax
(651) 770-8842
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 003802 MN Primary

Addresses

Primary practice location

5685 Geneva Ave. N.
Oakdale, MN 55128-1018

Mailing address

5685 Geneva Ave. N.
Oakdale, MN 55128-1018
Phone (651) 770-2283

Other identifiers 2

IdentifierTypeStateIssuer
96D63AROtherMNBCBS
77489OtherMNHEALTH PARTNERS

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
003802MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arvold Chiropractic PastSince Jan 8, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245364124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 GENEVA AVE. N.",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281018",
            "telephone_number": "651-770-2283",
            "fax_number": "651-770-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5685 GENEVA AVE. N.",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551281018",
            "telephone_number": "651-770-2283",
            "fax_number": "651-770-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVOLD",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96D63AR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "77489",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

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.