DOUGLAS W. ARNESEN, D.C. — NPI 1932301298 (Licensed & Credentialed Chiropractic Providers

CMS-1500 Box 24J / 33a • NPI

1932301298

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

111N00000X (CMS 35)

Licensed & Credentialed Chiropractic Providers — Chiropractor

Box 32 Service Location & ZIP+4

1400 W GRAND AVE STE B, GROVER BEACH, CA, 93433-4221

✓ 9-Digit EDI 837 ZIP+4 (93433-4221)

Practice Phone & Referral Fax

(805) 489-3714

Direct NPPES Verification Line

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1932301298 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Social Security Act 1128b14 — Effective 1999-02-18). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932301298` (NPI-1 Individual Practitioner)
Provider / Legal Name	DOUGLAS W. ARNESEN, D.C.
Plain-English Specialty	Licensed & Credentialed Chiropractic Providers — Chiropractor NUCC Code: `111N00000X` (Chiropractor)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1400 W GRAND AVE STE B, GROVER BEACH, CA, 93433-4221
Practice Telephone / Fax	Tel: (805) 489-3714
Administrative Mailing Address	1423 16TH ST, OCEANO, CA, 93445-9433
Enumeration & Last Sync	Enumerated: 2007-05-31 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1400 W GRAND AVE STE B, GROVER BEACH, CA, 93433-4221

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Plain-English Taxonomy & CMS Crosswalk (111N00000X)

What Does Taxonomy Code 111N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111N00000X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 35 (Chiropractic)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Chiropractor for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DOUGLAS W. ARNESEN, D.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`111N00000X` — Chiropractor Plain English: Licensed & Credentialed Chiropractic Providers — Chiropractor	State: CA \| License: `18310` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DOUGLAS W. ARNESEN, D.C. (NPI #1932301298)