Active NPI
Scott Alexander Massengill, D.C.
- Chiropractor
- North Bend, WA
National Provider Identifier
1174654313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2730
- Practice address
- 249 Main Ave. S.
Suite B
North Bend, WA 98045 - Phone
- (425) 888-4170
- NPI assigned
- Mar 8, 2007
- 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 | 2730 | WA | Primary |
Addresses
Primary practice location
249 Main Ave. S.
Suite B
North Bend, WA 98045
Mailing address
PO Box 1056
North Bend, WA 98045-1056
Phone (425) 888-4170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35212 | Other | WA | WA L & I |
| 2016434 | Medicaid | WA | |
| MA0481 | Other | WA | REGENCE |
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
- Sherman College of Straight Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
318 E Park St
North Bend, WA 98045-8200
Phone (425) 888-4170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2730 | WA | MD | Chiropractor |
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
- North Bend, WA
- NPI 1336270586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174654313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1056",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980451056",
"telephone_number": "425-888-4170",
"fax_number": "425-888-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 MAIN AVE. S.",
"address_2": "SUITE B",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "98045",
"telephone_number": "425-888-4170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENGILL",
"first_name": "SCOTT",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "2730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "35212",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016434",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "MA0481",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.