Active NPI
Scott Anthony De la Fe, D.C.
- Chiropractor
- Gilbert, AZ
National Provider Identifier
1316023906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7492
- Practice address
- 2401 E Baseline Rd Ste 101
Gilbert, AZ 85234-2469 - Phone
- (480) 507-3380
- Fax
- (480) 507-0656
- NPI assigned
- Oct 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 25050 | CA | |
| Chiropractor | 111N00000X | 7492 | AZ | Primary |
Addresses
Primary practice location
2401 E Baseline Rd Ste 101
Gilbert, AZ 85234-2469
Mailing address
2401 E Baseline Rd Ste 101
Gilbert, AZ 85234-2469
Phone (480) 507-3380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0942130 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 900171223 | Other | AZ | RAILROAD MEDICARE |
| 9071491 | Other | AZ | PHCS |
| 2Z1916 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041101000834 | AZ | Practitioner - Chiropractic | 7113812447 | Practice locations: Mesa, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1555 S Gilbert Rd
Suite 102
Mesa, AZ 85204-6000
Phone (480) 507-3380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25050 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Chiropractic Care | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Gilbert, AZ
- NPI 1740472406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316023906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E BASELINE RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342469",
"telephone_number": "480-507-3380",
"fax_number": "480-507-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E BASELINE RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342469",
"telephone_number": "480-507-3380",
"fax_number": "480-507-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA FE",
"first_name": "SCOTT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "25050",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0942130",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900171223",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9071491",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "2Z1916",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
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.
- 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.