Scott Dennis Showalter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006431 Issued in NY

Practice address

11881 Broadway
Alden, NY 14004-9563

Phone

(716) 937-9870

Fax

(716) 937-1827

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184705253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11881 BROADWAY",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049563",
            "telephone_number": "716-937-9870",
            "fax_number": "716-937-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11881 BROADWAY",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049563",
            "telephone_number": "716-937-9870",
            "fax_number": "716-937-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "SCOTT",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006431",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM NETWORK PROVIDER",
            "identifier": "161408182-02",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "000228623003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Michelle Ruston, LMHC
• Ruth a. Johnson, M.D.
• Rutowski of Alden Inc
• Miranda Schafer
• Cathy Scott
• Kara L Smith, PHARMD
• Randall Robert Smith, RPH
• Molly Snyder
• Kristine M. Sokolofsky, MSW
• Frank Soltiz, D.D.S.

• All providers in Alden, NY
• Chiropractor in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.