Individual provider Active NPI

Scott Alan Quinn, D.C.

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1144405051
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7869 Issued in AZ
Practice address
610 N Gilbert Rd Ste 309
Ste. 107
Gilbert, AZ 85234-4627
Phone
(480) 926-1111
Fax
(480) 926-2958
NPI assigned
Jan 9, 2008
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7869 AZ Primary

Addresses

Primary practice location

610 N Gilbert Rd Ste 309
Ste. 107
Gilbert, AZ 85234-4627

Mailing address

610 N Gilbert Rd Ste 309
Gilbert, AZ 85234-4627

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000094 SC Practitioner - Chiropractic 5395909949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine-Paincenter LLCGroup PAC ID 1557629797, 2 clinicians

Practice addresses (Care Compare)

5633 Rivers Ave
North Charleston, SC 29406-6022
Phone (843) 606-2412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spine-Pain Center, LLC Chiropractor CurrentSince Nov 15, 2017 Accepting new patients
Medwell LLC Past Accepting new patients
Gilbert PT, LLC Chiropractor Past Accepting new patients

Locations

5633 Rivers Ave
North Charleston, SC 29406
Phone (843) 606-2412

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1144405051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GILBERT RD STE 309",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GILBERT RD STE 309",
            "address_2": "STE. 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344627",
            "telephone_number": "480-926-1111",
            "fax_number": "480-926-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.