Individual provider Active NPI

Carlyle William Scott, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1265877492
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
946 Issued in ND
Practice address
232 W Front Ave
Bismarck, ND 58504
Phone
(701) 751-1660
Fax
(701) 751-3717
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 946 ND Primary

Addresses

Primary practice location

232 W Front Ave
Bismarck, ND 58504

Mailing address

2102 Koch Dr
302
Bismarck, ND 58503-1247
Phone (701) 751-1660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015000376 ND Practitioner - Chiropractic 1355575135 Reassigns benefits to 1 organization
Practice locations: Bismarck, ND

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Nelson DC PCGroup PAC ID 3173582657, 2 clinicians

Practice addresses (Care Compare)

2304 Clydesdale Dr
Bismarck, ND 58503-0947
Phone (701) 222-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
946NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
William Nelson, D.C., P.C. Chiropractor CurrentSince Jun 19, 2023 Accepting new patients
Precision Eyez, PC CurrentSince Jun 19, 2023 Accepting new patients
Patch Movement PLLC Chiropractor PastSince Jul 1, 2016 Accepting new patients

Locations

2304 Clydesdale Dr
Bismarck, ND 58503
Phone (701) 222-8322

Organizations & group practices 3

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1265877492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 KOCH DR",
            "address_2": "302",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031247",
            "telephone_number": "701-751-1660",
            "fax_number": "701-751-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58504",
            "telephone_number": "701-751-1660",
            "fax_number": "701-751-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CARLYLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.