Individual provider Active NPI

Scott Clifton Whitemarsh, D.C.

  • Chiropractor
  • Puyallup, WA
National Provider Identifier
1366505331
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034658 Issued in WA
Practice address
6223 112TH St E
Puyallup, WA 98373-4316
Phone
(253) 286-2211
Fax
(253) 286-2152
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034658 WA Primary

Addresses

Primary practice location

6223 112TH St E
Puyallup, WA 98373-4316

Mailing address

1903 George Washington Way
Richland, WA 99354-2307
Phone (509) 942-9155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070731000624 WA Practitioner - Chiropractic 1557452844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 Van Giesen St
Richland, WA 99354-2616
Phone (509) 942-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034658WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic Clinic PS Chiropractor CurrentSince Aug 30, 2007 Accepting new patients
Baldwin Chiropractic Chiropractor Past Accepting new patients

Locations

1903 George Washington Way
Richland, WA 99354
Phone (509) 942-1212

215 Van Giesen St
Richland, WA 99354
Phone (509) 942-1212

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1366505331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542307",
            "telephone_number": "509-942-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 112TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983734316",
            "telephone_number": "253-286-2211",
            "fax_number": "253-286-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMARSH",
        "first_name": "SCOTT",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.