Organization Active NPI

Live Well Chiropractic, P.C.

  • Chiropractor
  • New Paris, PA
National Provider Identifier
1508059130
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007841-L Issued in PA
Legal business name
LIVE WELL CHIROPRACTIC, P.C.
Practice address
1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone
(814) 624-0606
Fax
(814) 624-2455
NPI assigned
Aug 27, 2007
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Kris Arnold, D.C.NPI 1780800680
Title
President/Chiropractor
Phone
(814) 624-0606

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 DC-007841-L PA Primary

Addresses

Primary practice location

1634 Quaker Valley Rd
New Paris, PA 15554-8509

Mailing address

1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone (814) 624-0606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000442 PA Part B Supplier - Clinic/Group Practice 1658465349 Receives reassigned benefits from 4 practitioners
Practice locations: New Paris, PA

National Provider Directory

National Provider Directory

Locations

6009 Business 220
Bedford, PA 15522
Phone (814) 624-0606

1634 Quaker Valley Rd
New Paris, PA 15554
Phone (814) 285-6412

1634 Quaker Valley Rd
#2
New Paris, PA 15554
Phone (814) 624-0606

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1508059130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 QUAKER VALLEY RD",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155548509",
            "telephone_number": "814-624-0606",
            "fax_number": "814-624-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 QUAKER VALLEY RD",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155548509",
            "telephone_number": "814-624-0606",
            "fax_number": "814-624-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "814-624-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007841-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paris, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.