Active NPI
Scott W. Firczak, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1003808833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1481
- Practice address
- 2040B Randolph Rd
Charlotte, NC 28207-1216 - Phone
- (704) 331-0100
- NPI assigned
- Aug 18, 2005
- Last updated
- Nov 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1481 | NC | Primary |
Addresses
Primary practice location
2040B Randolph Rd
Charlotte, NC 28207-1216
Mailing address
68 Global Dr
Suite 100
Greenville, SC 29607-4628
Phone (864) 644-2700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4928 | Other | NC | RAILROAD GROUP NUMBER |
| 7908143 | Medicaid | NC | |
| P0060858 | Other | NC | RAILROAD PHYSICIAN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2040 Randolph Rd
Suite B
Charlotte, NC 28207-1239
Phone (704) 331-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1481 | NC | MD | Optometrist |
| 2250 | NC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Chiropractic Health Center PA | Chiropractor | Current | Accepting new patients |
Locations
2040 Randolph Rd
Ste B
Charlotte, NC 28207
Phone (704) 331-0100
68 Global Dr
Ste 100
Greenville, SC 29607
Networks
- TN PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Charlotte, NC
- NPI 1790777993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1003808833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 GLOBAL DR",
"address_2": "SUITE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074628",
"telephone_number": "864-644-2700",
"fax_number": "864-644-2709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040B RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071216",
"telephone_number": "704-331-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRCZAK",
"first_name": "SCOTT",
"middle_name": "W.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP NUMBER",
"identifier": "DA4928",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908143",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PHYSICIAN NUMBER",
"identifier": "P0060858",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.