Individual provider Active NPI

Thomas L Arnold, D.C.

  • Chiropractor
  • Green River, WY
National Provider Identifier
1871505727
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
640 Issued in WY
Practice address
705 Uinta Dr
Green River, WY 82935-5055
Phone
(307) 875-1926
Fax
(307) 875-5223
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 640 WY Primary

Addresses

Primary practice location

705 Uinta Dr
Green River, WY 82935-5055

Mailing address

705 Uinta Dr
Green River, WY 82935-5055
Phone (307) 875-1926

Other identifiers 1

IdentifierTypeStateIssuer
313479OtherWYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125001136 WY Practitioner - Chiropractic 6709836992 Reassigns benefits to 1 organization
Practice locations: Green River, WY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

665 Uinta Dr
Green River, WY 82935-5031
Phone (307) 875-1926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
640WYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Family Chiropractic PC CurrentSince Jan 2, 2018 Accepting new patients
BRC Family Hearing Solutions PastSince Mar 1, 2022 Accepting new patients

Locations

705 Uinta Dr
Green River, WY 82935
Phone (307) 875-1926

665 Uinta Dr
Green River, WY 82935
Phone (307) 875-1920

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1871505727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355055",
            "telephone_number": "307-875-1926",
            "fax_number": "307-875-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 UINTA DR",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355055",
            "telephone_number": "307-875-1926",
            "fax_number": "307-875-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313479",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.