Active NPI
Scott Joseph Beres, D.C.
- Nutrition Chiropractor
- Corning, NY
National Provider Identifier
1366450496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- X011022
- Practice address
- 8 Denison Pkwy E Ste 120
Corning, NY 14830-2636 - Phone
- (607) 936-4141
- NPI assigned
- Aug 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | X011022 | NY | Primary |
Addresses
Primary practice location
8 Denison Pkwy E Ste 120
Corning, NY 14830-2636
Mailing address
29 E Market St
Corning, NY 14830-2614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 E Market St
Suite 101
Corning, NY 14830-2668
8 Denison Pkwy E
Suite 120
Corning, NY 14830-2636
Phone (607) 936-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011022 | NY | MD | Nutrition Chiropractor |
| 011022 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Market Street Chiropractic PLLC | Nutrition | Current | Accepting new patients |
Locations
8 Denison Pkwy E
Ste 120
Corning, NY 14830
Phone (607) 936-4141
29 E Market St
Ste 101
Corning, NY 14830
Phone (607) 936-4141
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.
-
- Nutrition Chiropractor
- Corning, NY
- NPI 1598117905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1366450496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E MARKET ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148302614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 DENISON PKWY E STE 120",
"city": "CORNING",
"state": "NY",
"postal_code": "148302636",
"telephone_number": "607-936-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERES",
"first_name": "SCOTT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "X011022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corning, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.