Organization Active NPI

Arnold G. Shapiro MD, PLLC

  • Psychiatry Physician
  • Ft Wright, KY
National Provider Identifier
1881000545
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22192 Issued in KY
Legal business name
ARNOLD G. SHAPIRO MD, PLLC
Practice address
1717 Dixie Hwy
Suite 200
Ft Wright, KY 41011-2766
Phone
(859) 341-7453
Fax
(859) 344-3183
NPI assigned
Jul 2, 2014
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Arnold G. Shapiro, M.D.NPI 1568508158
Title
Owner
Phone
(859) 341-7453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22192 KY Primary

Addresses

Primary practice location

1717 Dixie Hwy
Suite 200
Ft Wright, KY 41011-2766

Mailing address

1717 Dixie Hwy
Suite 200
Ft Wright, KY 41011-2766
Phone (859) 341-7453

Other identifiers 1

IdentifierTypeStateIssuer
64221922MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140915001928 KY Part B Supplier - Clinic/Group Practice 5092934554 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Wright, KY

National Provider Directory

National Provider Directory

Locations

1717 Dixie Hwy
Ste 200
Ft Wright, KY 41011
Phone (859) 341-7453

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1881000545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY",
            "address_2": "SUITE 200",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112766",
            "telephone_number": "859-341-7453",
            "fax_number": "859-344-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 DIXIE HWY",
            "address_2": "SUITE 200",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112766",
            "telephone_number": "859-341-7453",
            "fax_number": "859-344-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD G. SHAPIRO MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-341-7453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "22192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64221922",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Wright, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.