Individual provider Active NPI

Scotti S Ballmer, D.C.

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1013054022
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8228 Issued in TX
Practice address
1624 N Lee Trevino Dr Ste B
El Paso, TX 79936-5100
Phone
(915) 598-2225
Fax
(915) 598-5203
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8228 TX Primary

Addresses

Primary practice location

1624 N Lee Trevino Dr Ste B
El Paso, TX 79936-5100

Mailing address

1624 N Lee Trevino Dr Ste B
El Paso, TX 79936-5100
Phone (915) 598-2225

Other identifiers 1

IdentifierTypeStateIssuer
8W8900OtherTXBLUE CROSS BLUE SHIELD OF

Other names 1

  • Scotti Ballmer-Pittman Other name

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
8228TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1013054022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365100",
            "telephone_number": "915-598-2225",
            "fax_number": "915-598-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 N LEE TREVINO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365100",
            "telephone_number": "915-598-2225",
            "fax_number": "915-598-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLMER",
        "first_name": "SCOTTI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "8W8900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTTI",
            "last_name": "BALLMER-PITTMAN",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.