Individual provider Active NPI

Arnold Kirbach Jr., D.C.

  • Chiropractor
  • Rutland, VT
National Provider Identifier
1326256454
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000656 Issued in VT
Practice address
1978 US Route 4
Rutland, VT 05701-6802
Phone
(802) 773-4155
NPI assigned
May 21, 2007
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000656 VT Primary

Addresses

Primary practice location

1978 US Route 4
Rutland, VT 05701-6802

Mailing address

1978 US Route 4
Rutland, VT 05701-6802
Phone (802) 773-4155

Other identifiers 2

IdentifierTypeStateIssuer
KI0009156MedicaidVT
00006193OtherVTBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000296 VT Practitioner - Chiropractic 1658535133 Practice locations: Mendon, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1978 US Route 4
Mendon, VT 05701

1978 US Route 4
Mendon, VT 05701-6802
Phone (802) 773-4155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0000656VTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1326256454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 US ROUTE 4",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057016802",
            "telephone_number": "802-773-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 US ROUTE 4",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057016802",
            "telephone_number": "802-773-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBACH",
        "first_name": "ARNOLD",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KI0009156",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00006193",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.