Organization Active NPI

Jared J. Scott, D.C., P.C.

  • Chiropractor
  • Erie, PA
National Provider Identifier
1184819062
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009814 Issued in PA
Legal business name
JARED J. SCOTT, D.C., P.C.
Practice address
2556 W 12TH St
Erie, PA 16505-4508
Phone
(814) 835-9020
Fax
(814) 836-9111
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Jared James Scott, D.C.NPI 1801096649
Title
President
Phone
(814) 835-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009814 PA Primary

Addresses

Primary practice location

2556 W 12TH St
Erie, PA 16505-4508

Mailing address

2556 W 12TH St
Erie, PA 16505-4508
Phone (814) 835-9020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000218 PA Part B Supplier - Clinic/Group Practice 6204922313 Receives reassigned benefits from 1 practitioner
Practice locations: Corry, PA; Erie, PA; North East, PA

National Provider Directory

National Provider Directory

Locations

116 W Smith St
Corry, PA 16407
Phone (814) 665-1032

35 S Lake St
North East, PA 16428
Phone (814) 725-2225

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1184819062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-835-9020",
            "fax_number": "814-836-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-835-9020",
            "fax_number": "814-836-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED J. SCOTT, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-835-9020",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.