Active NPI
Scott W Evanter, D.C.
- Nutrition Chiropractor
- Syosset, NY
National Provider Identifier
1306972302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X003214-1
- Practice address
- 197 Robbins LN
Syosset, NY 11791-6003 - Phone
- (516) 822-0993
- Fax
- (516) 822-0559
- NPI assigned
- Feb 26, 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X003214-1 | NY | Primary |
Addresses
Primary practice location
197 Robbins LN
Syosset, NY 11791-6003
Mailing address
197 Robbins LN
Syosset, NY 11791-6003
Phone (516) 822-0993
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 |
|---|---|---|---|
| X003214-1 | NY | MD | Nutrition Chiropractor |
| 003214 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1306972302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 ROBBINS LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117916003",
"telephone_number": "516-822-0993",
"fax_number": "516-822-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 ROBBINS LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117916003",
"telephone_number": "516-822-0993",
"fax_number": "516-822-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANTER",
"first_name": "SCOTT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X003214-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.