Scot Gubbels

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6982 Issued in MN

Practice address

17316 Kenyon Ave Ste 103
Lakeville, MN 55044-6910

Phone

(952) 236-0767

NPI assigned

May 3, 2022

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, NE2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scot.gubbels.1@29676.direct.athenahealth.com

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

• Upright Health PLLC

  • Clinic/Center
  • Lakeville, MN
  • NPI 1366127136
  NPD Authorized official
• Dr. Scotty G LLC

  • Chiropractor
  • Wayne, NE
  • NPI 1922862820
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1124763230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 KENYON AVE STE 103",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446910",
            "telephone_number": "952-236-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 KENYON AVE STE 103",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446910",
            "telephone_number": "952-236-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBBELS",
        "first_name": "SCOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Green, DDS
• Grief Center
• Sara Grimes, MD
• Tracy Loretta Grochow, M.A
• Anna Marie Groen
• Erik Gudmundson, ND
• Keyla Guenther
• Alleena Guerra
• Heather Gabrielle Guertin, PA
• Guiding Light Counseling Center

• Chiropractor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.