Scott Vander Wall, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3638 Issued in OR

Legal business name

SCOTT VANDER WALL, DC, PC

Practice address

243 SW Scalehouse Loop
Suite 5B
Bend, OR 97702-1558

Phone

(541) 317-9799

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Vander Wall, DC

Title

President

Phone

(541) 317-9799

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053342857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 SW SCALEHOUSE LOOP",
            "address_2": "SUITE 5B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021558",
            "telephone_number": "541-317-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 SW SCALEHOUSE LOOP",
            "address_2": "SUITE 5B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021558",
            "telephone_number": "541-317-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT VANDER WALL, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDER WALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-317-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Schwartz, RD
• Natalie Sophia Schwartzbauer, QMHP
• Karl Schweinberg, PA
• Natalie Schweizer
• Meredith Schweppe, MSW
• Anne M Scott, DMD
• Bradley E Scott, PA-C
• Joshua Michael Scott, PA-C
• Kirsten Carmiencke Scott, OD MS
• Lily Scott

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.