Individual provider Active NPI

Robert J Arsenault Jr., D.C.

  • Chiropractor
  • The Villages, FL
National Provider Identifier
1508937988
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9532 Issued in FL
Practice address
369 Colony Blvd
The Villages, FL 32162-6083
Phone
(352) 430-3355
NPI assigned
Nov 10, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009052 IL
Chiropractor 111N00000X CH9532 FL Primary

Addresses

Primary practice location

369 Colony Blvd
The Villages, FL 32162-6083

Mailing address

5106 Harbour Dr
Oxford, FL 34484-3705
Phone (352) 461-9161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000760 FL Practitioner - Chiropractic 6800877754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arsenault Chiropractic PAGroup PAC ID 0345496394, 2 clinicians

Practice addresses (Care Compare)

369 Colony Blvd
The Villages, FL 32162-6083
Phone (352) 430-3355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9532FLMDChiropractor
038-009052ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arsenault Chiropractic PA Chiropractor CurrentSince Jun 14, 2012 Accepting new patients
Park West Medical & Pain Clinic LTD Chiropractor Past Accepting new patients
Chicago Medical & Pain Associates LTD Past Accepting new patients
Chicago Medical and Pain Associates LTD. Past Accepting new patients
Community Chiropractic Corp. Chiropractor PastSince May 12, 2015 Accepting new patients

Locations

369 Colony Blvd
The Villages, FL 32162
Phone (352) 430-2719

Organizations & group practices 6

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1508937988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 HARBOUR DR",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843705",
            "telephone_number": "352-461-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626083",
            "telephone_number": "352-430-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARSENAULT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009052",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.