Individual provider Active NPI

Scott Thomas Kirkpatrick Sr., DC

  • Chiropractor
  • Ponca City, OK
National Provider Identifier
1124150305
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3457 Issued in OK
Practice address
300 N 5TH St
Ponca City, OK 74601-4512
Phone
(580) 762-1291
Fax
(580) 762-0379
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3457 OK Primary

Addresses

Primary practice location

300 N 5TH St
Ponca City, OK 74601-4512

Mailing address

300 N 5TH St
Ponca City, OK 74601-4512
Phone (580) 762-1291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000398 OK Practitioner - Chiropractic 5991834830 Practice locations: Ponca City, OK

Care Compare profile

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

Practice addresses (Care Compare)

300 N 5TH St
Ponca City, OK 74601-4512
Phone (580) 762-1291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3457OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vista DME LLC Chiropractor PastSince Apr 2, 2025 Accepting new patients
Chiropractic Associates Chiropractor PastSince Feb 20, 2001 Accepting new patients
Tsaw LLC Chiropractor PastSince Dec 8, 2016 Accepting new patients
Tsca, LLC Chiropractor PastSince Jan 1, 2016 Accepting new patients
Med Equip DME LLC Chiropractor PastSince Apr 2, 2025 Accepting new patients

Organizations & group practices 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1124150305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 5TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014512",
            "telephone_number": "580-762-1291",
            "fax_number": "580-762-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 5TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014512",
            "telephone_number": "580-762-1291",
            "fax_number": "580-762-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.