Individual provider Active NPI

Scott E. Spinner, D.C.

  • Chiropractor
  • Fairport, NY
National Provider Identifier
1023114725
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009446-1 Issued in NY
Practice address
790 Ayrault Rd
Suite a
Fairport, NY 14450-8901
Phone
(585) 425-0190
Fax
(585) 425-0191
NPI assigned
Sep 16, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X009446-1 NY Primary

Addresses

Primary practice location

790 Ayrault Rd
Suite a
Fairport, NY 14450-8901

Mailing address

790 Ayrault Rd
Suite a
Fairport, NY 14450-8901
Phone (585) 425-0190

Other identifiers 3

IdentifierTypeStateIssuer
009446OtherPREFERRED CARE
P010009446OtherEXCELLUS BLUE CROSS/SHIEL
7199261OtherAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000583 NY Practitioner - Chiropractic 2466634902 Practice locations: Fairport, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6605 Pittsford Palmyra Rd
Suite E15
Fairport, NY 14450-3407
Phone (585) 425-0190

6605 Pittsford Palmyra Rd
Suite E15
Fairport, NY 14450-3491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009446-1NYMDChiropractor
009446NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1023114725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 AYRAULT RD",
            "address_2": "SUITE A",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508901",
            "telephone_number": "585-425-0190",
            "fax_number": "585-425-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 AYRAULT RD",
            "address_2": "SUITE A",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144508901",
            "telephone_number": "585-425-0190",
            "fax_number": "585-425-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINNER",
        "first_name": "SCOTT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009446-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "009446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS/SHIEL",
            "identifier": "P010009446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7199261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.