Organization Active NPI

Arena Chiropractic Clinic PC

  • Chiropractor
  • Macon, GA
National Provider Identifier
1487737797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1699 Issued in GA
Legal business name
ARENA CHIROPRACTIC CLINIC PC
Practice address
2410 Riverside Dr
Macon, GA 31204
Phone
(478) 743-0047
Fax
(478) 743-0792
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew J Arena, DCNPI 1548449267
Title
President
Phone
(478) 743-0047

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 1699 GA Primary

Addresses

Primary practice location

2410 Riverside Dr
Macon, GA 31204

Mailing address

2410 Riverside Dr
Macon, GA 31204
Phone (478) 743-0047

Other identifiers 1

IdentifierTypeStateIssuer
00654805AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2410 Riverside Dr
Macon, GA 31204
Phone (478) 284-1257

Practitioners & affiliated clinicians

Practitioners 3

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487737797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-743-0047",
            "fax_number": "478-743-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-743-0047",
            "fax_number": "478-743-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARENA CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-743-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "1699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00654805A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.