Individual provider Active NPI

Scott Warren Lampshire, DC

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1215091202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
724 Issued in MT
Practice address
725 6TH Ave E
Kalispell, MT 59901-5005
Phone
(406) 257-7572
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 724 MT Primary

Addresses

Primary practice location

725 6TH Ave E
Kalispell, MT 59901-5005

Mailing address

725 6TH Ave E
Kalispell, MT 59901-5005
Phone (406) 257-7572

Other identifiers 1

IdentifierTypeStateIssuer
QMB0164509MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000298 MT Practitioner - Chiropractic 3870643471 Practice locations: Kalispell, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

725 6TH Ave E
Kalispell, MT 59901-5005

725 6TH E Ave
Kalispell, MT 59901-5005

Ste
1 725 6TH Ave E
Kalispell, MT 59901-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
724MTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215091202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-257-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 6TH AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015005",
            "telephone_number": "406-257-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPSHIRE",
        "first_name": "SCOTT",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMB0164509",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

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.

Verify at the official NPI Registry.