Individual provider Active NPI

Scott Koltes, D.C.

  • Chiropractor
  • Richfield, MN
National Provider Identifier
1366523375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4186 Issued in MN
Practice address
6944 Nicollet Ave S
Richfield, MN 55423-2407
Phone
(612) 861-8854
Fax
(612) 861-8816
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 4186 MN Primary

Addresses

Primary practice location

6944 Nicollet Ave S
Richfield, MN 55423-2407

Mailing address

6944 Nicollet Ave S
Richfield, MN 55423-2407
Phone (612) 861-8854

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000830 MN Practitioner - Chiropractic 5890822415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6944 Nicollet Ave
Richfield, MN 55423-2407
Phone (612) 861-8854

6944 Nicollet Ave S
Richfield, MN 55423-2407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health LTD Chiropractor CurrentSince Feb 10, 2010 Accepting new patients

Locations

6944 Nicollet Ave
Richfield, MN 55423
Phone (612) 861-8854

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366523375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 NICOLLET AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232407",
            "telephone_number": "612-861-8854",
            "fax_number": "612-861-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 NICOLLET AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232407",
            "telephone_number": "612-861-8854",
            "fax_number": "612-861-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTES",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, 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.