Individual provider Active NPI

Scott H Lawrence, D.C.

  • Chiropractor
  • Columbia, MD
National Provider Identifier
1043311178
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01504 Issued in MD
Practice address
5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264
Phone
(410) 844-1577
Fax
(410) 740-1117
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005364-1 NY
Chiropractor 111N00000X 01504 MD Primary

Addresses

Primary practice location

5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264

Mailing address

5513 Twin Knolls Rd Ste 219
Columbia, MD 21045-3264
Phone (410) 844-1577

Other identifiers 4

IdentifierTypeStateIssuer
R7860001OtherMDMARYLAND FEP
4394863OtherMDAETNA
2100596OtherMDMAMSI/OPTIMUM CHOICE/MDIP
52136202OtherMDBLUE SHIELD MARYLAND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000341 MD Practitioner - Chiropractic 9638230717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5513 Twin Knolls Rd
Suite 219
Columbia, MD 21045-3264
Phone (410) 844-1577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005364-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Sep 5, 2023 Accepting new patients
National Chiropractic &Sports Rehabilitation Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5513 Twin Knolls Rd
Ste 219
Columbia, MD 21045
Phone (410) 844-1577

9501 Old Annapolis Rd
Ste 301
Ellicott City, MD 21042
Phone (410) 531-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1043311178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 219",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264",
            "telephone_number": "410-844-1577",
            "fax_number": "410-740-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 TWIN KNOLLS RD STE 219",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453264",
            "telephone_number": "410-844-1577",
            "fax_number": "410-740-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SCOTT",
        "middle_name": "H",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005364-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND FEP",
            "identifier": "R7860001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4394863",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/OPTIMUM CHOICE/MDIP",
            "identifier": "2100596",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MARYLAND",
            "identifier": "52136202",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.