Active NPI
Scott Koltes, D.C.
- Chiropractor
- Richfield, MN
National Provider Identifier
1366523375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4186
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health LTD | Chiropractor | Current | 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.