Active NPI
Scott David Fletcher, DC
- Chiropractor
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 877
- Practice address
- 5246 N Eagle Rd
Boise, ID 83713-0945 - Phone
- (208) 939-3000
- Fax
- (208) 939-3030
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 21, 2022
- 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 | 877 | ID | Primary |
Addresses
Primary practice location
5246 N Eagle Rd
Boise, ID 83713-0945
Mailing address
5246 N Eagle Rd
Ste 106
Boise, ID 83713-0945
Phone (208) 939-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2573 | Other | ID | BLUE CROSS |
| 000010028569 | Other | ID | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5246 N Eagle Rd
Boise, ID 83713-0945
Phone (208) 939-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fletcher Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
5246 N Eagle Rd
Boise, ID 83713
Phone (208) 939-3000
5246 N Eagle Rd
Ste 106
Boise, ID 83713
3210 E Chinden Blvd
Ste 106
Eagle, ID 83616
Phone (208) 939-3000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265566855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5246 N EAGLE RD",
"address_2": "STE 106",
"city": "BOISE",
"state": "ID",
"postal_code": "837130945",
"telephone_number": "208-939-3000",
"fax_number": "208-939-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5246 N EAGLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837130945",
"telephone_number": "208-939-3000",
"fax_number": "208-939-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SCOTT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C2573",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010028569",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.