Active NPI
Scot L Varness, D.C.
- Chiropractor
- Peoria, IL
National Provider Identifier
1295805349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 7213 N Allen Rd
Peoria, IL 61614-1107 - Phone
- (309) 693-8448
- Fax
- (309) 693-8438
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 9, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
7213 N Allen Rd
Peoria, IL 61614-1107
Mailing address
7213 N Allen Rd
Peoria, IL 61614-1107
Phone (309) 693-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009875 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelch Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
| Glas Chiropractic S.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295805349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7213 N ALLEN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141107",
"telephone_number": "309-693-8448",
"fax_number": "309-693-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7213 N ALLEN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141107",
"telephone_number": "309-693-8448",
"fax_number": "309-693-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNESS",
"first_name": "SCOT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.