Active NPI
Scott P Maystrovich, D.C.
- Chiropractor
- Spokane, WA
National Provider Identifier
1114910270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034050
- Practice address
- 5625 N Wall St
Spokane, WA 99205-6435 - Phone
- (509) 482-1982
- Fax
- (509) 482-1983
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034050 | WA | Primary |
Addresses
Primary practice location
5625 N Wall St
Spokane, WA 99205-6435
Mailing address
5625 N Wall St
Spokane, WA 99205-6435
Phone (509) 482-1982
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010147569 | Other | WA | REGENCE OF IDAHO |
| P00021492 | Other | WA | RAILROAD MEDICARE |
| 0157424 | Other | WA | LABOR & INDUSTRIES |
| 2026813 | Medicaid | WA | |
| 2433MA | Other | WA | ASURIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5625 N Wall St
Spokane, WA 99205-6435
Phone (509) 482-1982
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034050 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Chiropractic Center Inc | Chiropractor | Current | Accepting new patients |
Locations
5625 N Wall St
Spokane, WA 99205
Phone (509) 328-5560
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 and National Provider Directory roles.
-
- Chiropractor
- Spokane, WA
- NPI 1285859298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114910270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 N WALL ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056435",
"telephone_number": "509-482-1982",
"fax_number": "509-482-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 N WALL ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056435",
"telephone_number": "509-482-1982",
"fax_number": "509-482-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYSTROVICH",
"first_name": "SCOTT",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF IDAHO",
"identifier": "000010147569",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00021492",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0157424",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2026813",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "2433MA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.