Scott J. Scafidi DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1175 Issued in SC

Legal business name

SCOTT J. SCAFIDI DC PA

Practice address

1451 Highway 17 S
Suite B
North Myrtle Beach, SC 29582-3803

Phone

(843) 272-1992

Fax

(843) 272-1117

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Scott John Scafidi, DCNPI 1013972793

Title

Owner President

Phone

(843) 272-1992

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Scott J Scafidi DC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scott J Scafidi DC PA

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1740672187
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott John Scafidi, DC

  • Chiropractor
  • North Myrtle Beach, SC
  • NPI 1013972793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174669725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HIGHWAY 17 S",
            "address_2": "SUITE B",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823803",
            "telephone_number": "843-272-1992",
            "fax_number": "843-272-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HIGHWAY 17 S",
            "address_2": "SUITE B",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823803",
            "telephone_number": "843-272-1992",
            "fax_number": "843-272-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J. SCAFIDI DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCAFIDI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "843-272-1992",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH250",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandhills Home Care LLC
• Sandhills Intergrated Care, Inc.
• Kristin Sawyer
• Scott John Scafidi, DC
• Natalie Schwab, APRN, FNP-C
• Dillon Sease, DDS
• Richard D Shade, DC
• Marjorie Jade Shahan, PHARMD
• Jaime Lynn Shaver, D.C.
• Teresa Shelley, RPH

• Chiropractor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.