Individual provider Active NPI

Michael Justin Arnot, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1669459400
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3360 Issued in OR
Practice address
6339 SW Capitol Hwy
Portland, OR 97239-1937
Phone
(503) 246-1881
Fax
(503) 246-1557
NPI assigned
Dec 22, 2005
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3360 OR Primary

Addresses

Primary practice location

6339 SW Capitol Hwy
Portland, OR 97239-1937

Mailing address

2172 SW Park PL
Unit a
Portland, OR 97205-1125
Phone (503) 246-1881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000570 OR Practitioner - Chiropractic 6800877390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6339 SW Capitol Hwy
Portland, OR 97239-1937
Phone (503) 246-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3360ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mja Health Services, Inc. Chiropractor CurrentSince Nov 4, 2002 Accepting new patients
Greenwood Health Center, PC Chiropractor PastSince Sep 27, 2001 Accepting new patients

Locations

6339 SW Capitol Hwy
Portland, OR 97239
Phone (503) 246-1881

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1669459400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 SW PARK PL",
            "address_2": "UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051125",
            "telephone_number": "503-246-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391937",
            "telephone_number": "503-246-1881",
            "fax_number": "503-246-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOT",
        "first_name": "MICHAEL",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

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