Individual provider Active NPI

Douglas A Scott, DC

  • Chiropractor
  • Anderson, IN
National Provider Identifier
1376602599
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001914A Issued in IN
Practice address
520 E 8TH St
Anderson, IN 46012-4017
Phone
(765) 641-7700
Fax
(765) 641-7016
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001914A IN Primary

Addresses

Primary practice location

520 E 8TH St
Anderson, IN 46012-4017

Mailing address

520 E 8TH St
Anderson, IN 46012-4017
Phone (765) 641-7700

Other identifiers 1

IdentifierTypeStateIssuer
200268550AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001272 IN Practitioner - Chiropractic 2062454499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 S Scatterfield Rd
Suite 2
Anderson, IN 46012-3664
Phone (765) 641-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001914AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hoosier Health Plus, LLC Chiropractor CurrentSince Jun 1, 2012 Accepting new patients
North Anderson Chiropractic, Inc. Chiropractor CurrentSince Apr 1, 2025 Accepting new patients

Locations

420 S Scatterfield Rd
Ste 2
Anderson, IN 46012
Phone (765) 641-7700

520 E 8th St
Anderson, IN 46012
Phone (765) 641-7700

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1376602599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124017",
            "telephone_number": "765-641-7700",
            "fax_number": "765-641-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 8TH ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124017",
            "telephone_number": "765-641-7700",
            "fax_number": "765-641-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001914A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.