Individual provider Active NPI

Scott Douglas McClure, D.C.

  • Chiropractor
  • St Henry, OH
National Provider Identifier
1346244266
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1996 Issued in OH
Practice address
570 E Kremer Hoying Rd
Ste H
St Henry, OH 45883-9613
Phone
(419) 678-4873
Fax
(419) 678-4873
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1996 OH Primary

Addresses

Primary practice location

570 E Kremer Hoying Rd
Ste H
St Henry, OH 45883-9613

Mailing address

570 E Kremer Hoying Rd
Ste H
St Henry, OH 45883-9613
Phone (419) 678-4873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000131 OH Practitioner - Chiropractic 1759414881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

570 E Kremer Hoying Rd
Suite H
Saint Henry, OH 45883-7601
Phone (419) 678-4873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Henry Chiropractic Chiropractor CurrentSince Jun 12, 2010 Accepting new patients

Locations

570 E Kremer Hoying Rd
Ste H
Saint Henry, OH 45883
Phone (419) 678-4873

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1346244266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E KREMER HOYING RD",
            "address_2": "STE H",
            "city": "ST HENRY",
            "state": "OH",
            "postal_code": "458839613",
            "telephone_number": "419-678-4873",
            "fax_number": "419-678-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E KREMER HOYING RD",
            "address_2": "STE H",
            "city": "ST HENRY",
            "state": "OH",
            "postal_code": "458839613",
            "telephone_number": "419-678-4873",
            "fax_number": "419-678-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Henry, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.