Individual provider Active NPI

Scott Alan Risley, D.C.

  • Chiropractor
  • Lawrence, KS
National Provider Identifier
1225209786
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05201 Issued in KS
Practice address
4920 Bob Billings Pkwy
Ste. B
Lawrence, KS 66049-3855
Phone
(785) 865-6030
Fax
(785) 865-6031
NPI assigned
Mar 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05201 KS Primary

Addresses

Primary practice location

4920 Bob Billings Pkwy
Ste. B
Lawrence, KS 66049-3855

Mailing address

4920 Bob Billings Pkwy
Ste. B
Lawrence, KS 66049-3855
Phone (785) 865-6030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000071 KS Practitioner - Chiropractic 4183793847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4920 Bob Billings Pkwy
Suite B
Lawrence, KS 66049-5814
Phone (816) 214-2780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05201KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sar Enterprises, PA Chiropractor CurrentSince Apr 14, 2008 Accepting new patients

Locations

4920 Bob Billings Pkwy
Ste B
Lawrence, KS 66049
Phone (785) 856-6030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1225209786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 BOB BILLINGS PKWY",
            "address_2": "STE. B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493855",
            "telephone_number": "785-865-6030",
            "fax_number": "785-865-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 BOB BILLINGS PKWY",
            "address_2": "STE. B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493855",
            "telephone_number": "785-865-6030",
            "fax_number": "785-865-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISLEY",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.