Organization Active NPI

Scott Chiropractic Fort Collins P.C.

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1285922948
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6329 Issued in CO
Legal business name
SCOTT CHIROPRACTIC FORT COLLINS P.C.
Practice address
5125 S College Ave
Suite a
Fort Collins, CO 80525-3959
Phone
(970) 482-1175
Fax
(970) 372-6459
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. Mark Andrew Scott, D.C.NPI 1841434073
Title
Owner
Phone
(970) 482-1175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6329 CO Primary

Addresses

Primary practice location

5125 S College Ave
Suite a
Fort Collins, CO 80525-3959

Mailing address

5125 S College Ave
Suite a
Fort Collins, CO 80525-3959
Phone (970) 482-1175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000140 CO Part B Supplier - Clinic/Group Practice 1153596168 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1285922948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 S COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253959",
            "telephone_number": "970-482-1175",
            "fax_number": "970-372-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 S COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253959",
            "telephone_number": "970-482-1175",
            "fax_number": "970-372-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CHIROPRACTIC FORT COLLINS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-482-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "6329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.