Individual provider Active NPI

Scott David Evans, DC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1275676777
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6077 Issued in CO
Practice address
4650 W 38TH Ave
Suite 210
Denver, CO 80212-2161
Phone
(303) 433-5433
Fax
(303) 433-8432
NPI assigned
Feb 14, 2007
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 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 6077 CO Primary

Addresses

Primary practice location

4650 W 38TH Ave
Suite 210
Denver, CO 80212-2161

Mailing address

4650 W 38TH Ave
Suite 210
Denver, CO 80212-2161
Phone (303) 433-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000043 CO Practitioner - Chiropractic 6507890498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4650 W 38TH Ave
Suite 210
Denver, CO 80212-2161
Phone (303) 433-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6077COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Chiropractic Studio, LLC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Sequoia Chiropractic Inc Chiropractor Past Accepting new patients
Vida Chiropractic Studio, LLC Chiropractor PastSince Jan 1, 2008 Accepting new patients
Mark K Werking, DC, SC Chiropractor Past Accepting new patients

Locations

4650 W 38th Ave
Ste 201
Denver, CO 80212
Phone (303) 433-5433

4650 W 38th Ave
Ste 210
Denver, CO 80212
Phone (303) 433-5433

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1275676777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W 38TH AVE",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122161",
            "telephone_number": "303-433-5433",
            "fax_number": "303-433-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W 38TH AVE",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122161",
            "telephone_number": "303-433-5433",
            "fax_number": "303-433-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.