Individual provider Active NPI

Scott W. Firczak, DC

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1003808833
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1481 Issued in NC
Practice address
2040B Randolph Rd
Charlotte, NC 28207-1216
Phone
(704) 331-0100
NPI assigned
Aug 18, 2005
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DA4928OtherNCRAILROAD GROUP NUMBER
7908143MedicaidNC
P0060858OtherNCRAILROAD PHYSICIAN NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119001122 NC Practitioner - Chiropractic 3779541644 Reassigns benefits to 1 organization

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
Randolph Chiropractic Health Center PAGroup PAC ID 8426016395, 2 clinicians

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

LicenseStateTypeSpecialty
1481NCMDOptometrist
2250NCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Chiropractic Health Center PA Chiropractor CurrentSince Oct 2, 2002 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.

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.

Verify at the official NPI Registry.