Healthcare Provider Details

I. General information

NPI: 1558427229
Provider Name (Legal Business Name): SCOTT RICHARD ARENDS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 12/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 MILITARY RD
NIAGARA FALLS NY
14304-1724
US

IV. Provider business mailing address

2283 GRAND ISLAND BLVD
GRAND ISLAND NY
14072-1819
US

V. Phone/Fax

Practice location:
  • Phone: 716-297-1090
  • Fax: 716-297-1044
Mailing address:
  • Phone: 716-773-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7511
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: