Randal E Arnold, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1763-012 Issued in WI

Practice address

331 Kentucky St
Sturgeon Bay, WI 54235-2419

Phone

(920) 743-6919

Fax

(920) 746-0619

NPI assigned

Nov 1, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Peninsula Chiropractic Center Inc.Group PAC ID 2668655697, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Peninsula Chiropractic Center Inc.

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1417145830
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649357336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 KENTUCKY ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352419",
            "telephone_number": "920-743-6919",
            "fax_number": "920-746-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KENTUCKY ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352419",
            "telephone_number": "920-743-6919",
            "fax_number": "920-746-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "RANDAL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1763-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38783400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38995000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Natural Healing, LLC
• Maria Chona Segismundo Antonio, MD
• Orville Ammador Antonio, D.C.
• Kathleen Elizabeth Arnold, D.C.
• Levi R. Arnold, D.C.
• Carol F Ash, PT
• Janet A Askins, RPH
• Ann L Athorp-Krech, PHD
• Aurora Medical Group Inc (Aurora Medical Group Sturgeon Bay Dialysis)
• Aurora Medical Group, Inc

• Chiropractor in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.