Individual provider Active NPI

Scott Andrew Mooring, DC

  • Chiropractor
  • West Saint Paul, MN
National Provider Identifier
1346353612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4451 Issued in MN
Practice address
1525 Livingston Ave
West Saint Paul, MN 55118-3411
Phone
(651) 455-5264
Fax
(651) 455-1172
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4451 MN Primary

Addresses

Primary practice location

1525 Livingston Ave
West Saint Paul, MN 55118-3411

Mailing address

1525 Livingston Ave
West Saint Paul, MN 55118-3411
Phone (651) 455-5264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000677 MN Practitioner - Chiropractic 2567353113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Balance Chiropractic PAGroup PAC ID 0345320495, 3 clinicians

Practice addresses (Care Compare)

1525 Livingston Ave
Suite B
West St Paul, MN 55118-3430
Phone (651) 455-5264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4451MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Balance Chiropractic, PA Chiropractor CurrentSince Oct 5, 2007 Accepting new patients
Wildenauer Chiropractic Clinic LTD Chiropractor Past Accepting new patients

Locations

1525 Livingston Ave
West St Paul, MN 55118
Phone (651) 455-5264

1525 Livingston Ave
Ste B
West St Paul, MN 55118
Phone (651) 455-5264

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346353612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LIVINGSTON AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183411",
            "telephone_number": "651-455-5264",
            "fax_number": "651-455-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LIVINGSTON AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183411",
            "telephone_number": "651-455-5264",
            "fax_number": "651-455-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORING",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.