Individual provider Active NPI

Steven Robert Arnold, L.AC. M.AC. DIPL.AC.

  • Acupuncturist
  • Boulder, CO
National Provider Identifier
1902233786
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1799 Issued in CO
Practice address
6662 Gunpark Dr Ste 200
Boulder, CO 80301-3379
Phone
(720) 445-0175
Fax
(720) 438-7338
NPI assigned
Oct 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1799 CO Primary

Addresses

Primary practice location

6662 Gunpark Dr Ste 200
Boulder, CO 80301-3379

Mailing address

910 Cranberry CT
Longmont, CO 80503-6443
Phone (720) 445-0175

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

LicenseStateTypeSpecialty
1799COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1902233786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CRANBERRY CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036443",
            "telephone_number": "720-445-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 GUNPARK DR STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013379",
            "telephone_number": "720-445-0175",
            "fax_number": "720-438-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "credential": "L.AC. M.AC. DIPL.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.