Individual provider Active NPI

Scott P Maystrovich, D.C.

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1114910270
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034050 Issued in WA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000010147569OtherWAREGENCE OF IDAHO
P00021492OtherWARAILROAD MEDICARE
0157424OtherWALABOR & INDUSTRIES
2026813MedicaidWA
2433MAOtherWAASURIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000445 WA Practitioner - Chiropractic 0840180915 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CH00034050WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Chiropractic Center Inc Chiropractor CurrentSince Dec 19, 2001 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.

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.

Verify at the official NPI Registry.