Kris Clyde Arnold, D.C.
Individual provider Active NPI Chiropractor · Bedford, PA
NPI 1780800680 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780800680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-007841-L (PA)
- Practice address
- 6009 Business 220
Bedford, PA 15522-7646 - Phone
- (814) 624-0606
- Fax
- (814) 624-2455
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Live Well Chiropractic PC
Practice addresses (Care Compare)
1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone (814) 624-0606
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070914000021 | PA | Practitioner - Chiropractic | 0345334835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-007841-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
6009 Business 220
Bedford, PA 15522
Phone (814) 624-0606
6009 Business 220
#C
Bedford, PA 15522
1634 Quaker Valley Rd
#2
New Paris, PA 15554
Phone (814) 624-0606
1634 Quaker Valley Rd
New Paris, PA 15554
Phone (814) 285-6412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-007841-L | PA | Yes |
Addresses
Primary practice location
6009 Business 220
Bedford, PA 15522-7646
Mailing address
6009 Business 220
Bedford, PA 15522-7646
Phone (814) 624-0606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506566 | Other | PA | BLUE CROSS BLUE SHIELD |
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.