Individual provider Active NPI

James T Arnold

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1366064867
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5162 Issued in NC
Practice address
402 E Sugar Creek Rd
Charlotte, NC 28213-6913
Phone
(704) 461-0744
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5162 NC Primary

Addresses

Primary practice location

402 E Sugar Creek Rd
Charlotte, NC 28213-6913

Mailing address

4024 Triangle Dr
Charlotte, NC 28208-2828

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.james@keithclinic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002382 NC Practitioner - Chiropractic 1557792066 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5162NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Clinic Estramonte Chiropractic Chiropractor CurrentSince May 6, 2020 Accepting new patients
Estramonte Chiropractic & Wellness Center Chiropractor CurrentSince May 6, 2020 Accepting new patients
Estramonte Chiropractic & Wellness Center East, P.a. Chiropractor CurrentSince May 6, 2020 Accepting new patients
Estramonte Chiropractic West PA Chiropractor CurrentSince May 6, 2020 Accepting new patients

Locations

4024 Triangle Dr
Charlotte, NC 28208
Phone (704) 319-9200

402 E Sugar Creek Rd
Charlotte, NC 28213
Phone (704) 405-7000

6859 South Blvd
Charlotte, NC 28217
Phone (704) 274-5477

5344 Central Ave
Charlotte, NC 28212
Phone (704) 568-4195

4016 Triangle Dr
Charlotte, NC 28208
Phone (704) 392-1338

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1366064867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 TRIANGLE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E SUGAR CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136913",
            "telephone_number": "704-461-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JAMES",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.james@keithclinic.com",
            "affiliation": "N",
            "address_1": "402 E Sugar Creek Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282136913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.