Individual provider Active NPI

Levi R. Arnold, D.C.

  • Chiropractor
  • Sturgeon Bay, WI
National Provider Identifier
1770829780
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4910-12 Issued in WI
Practice address
331 Kentucky St
Sturgeon Bay, WI 54235-2419
Phone
(920) 743-6919
Fax
(920) 746-0619
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4910-12 WI Primary

Addresses

Primary practice location

331 Kentucky St
Sturgeon Bay, WI 54235-2419

Mailing address

331 Kentucky St
Sturgeon Bay, WI 54235-2419
Phone (920) 743-6919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130208000315 WI Practitioner - Chiropractic 4880848340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Peninsula Chiropractic Center Inc.Group PAC ID 2668655697, 2 clinicians

Practice addresses (Care Compare)

331 Kentucky St
Sturgeon Bay, WI 54235-2419
Phone (920) 743-6919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4910-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Chiropractic Center Inc. Chiropractor CurrentSince Dec 17, 2012 Accepting new patients

Locations

331 Kentucky St
Sturgeon Bay, WI 54235
Phone (920) 743-6919

Organizations & group practices 1

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1770829780",
    "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": "LEVI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4910-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.