Active NPI
Scott Owen Washburn, DC
- Chiropractor
- Portales, NM
National Provider Identifier
1215933429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2129
- Practice address
- 421 S Avenue C
Suite C
Portales, NM 88130-6328 - Phone
- (575) 799-0955
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 2129 | NM | Primary |
Addresses
Primary practice location
421 S Avenue C
Suite C
Portales, NM 88130-6328
Mailing address
PO Box 1314
Portales, NM 88130-1314
Phone (575) 799-0955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350024807 | Other | NM | RR MC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1236 | NM | MD | Clinical Psychologist |
| 2129 | NM | MD | Chiropractor |
| 2617 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1215933429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1314",
"city": "PORTALES",
"state": "NM",
"postal_code": "881301314",
"telephone_number": "575-799-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S AVENUE C",
"address_2": "SUITE C",
"city": "PORTALES",
"state": "NM",
"postal_code": "881306328",
"telephone_number": "575-799-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHBURN",
"first_name": "SCOTT",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "2129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "350024807",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.