Active NPI
Nicholas Arensdorf, RD, LD
- Registered Dietitian
- Fairfield, IA
National Provider Identifier
1720516461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 086364
- Practice address
- 2000 S Main St
Fairfield, IA 52556-9572 - Phone
- (641) 469-4245
- Fax
- (641) 469-4245
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 086364 | IA | Primary |
Addresses
Primary practice location
2000 S Main St
Fairfield, IA 52556-9572
Mailing address
PO Box 197
Nichols, IA 52766-0197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086364 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1720516461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 197",
"city": "NICHOLS",
"state": "IA",
"postal_code": "527660197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S MAIN ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569572",
"telephone_number": "641-469-4245",
"fax_number": "641-469-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENSDORF",
"first_name": "NICHOLAS",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-25",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "086364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.