Individual provider Active NPI

Scott D Aughenbaugh, DC

  • Chiropractor
  • Earlville, IL
National Provider Identifier
1376657999
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008130 Issued in IL
Practice address
139 W Railroad St
Earlville, IL 60518-3119
Phone
(815) 246-8611
Fax
(815) 246-8621
NPI assigned
Aug 19, 2006
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008130 IL Primary

Addresses

Primary practice location

139 W Railroad St
Earlville, IL 60518-3119

Mailing address

PO Box 174
Earlville, IL 60518-0174
Phone (815) 246-8611

Other identifiers 2

IdentifierTypeStateIssuer
0002222663OtherILBC/BS
36-4246500OtherILCORPORATE TAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000069 IL Practitioner - Chiropractic 2769570829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 W Railroad St
FL 1
Earlville, IL 60518-3119
Phone (815) 246-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008130ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aughenbaugh Family Chiropractic Clinic Inc Chiropractor CurrentSince Aug 1, 1998 Accepting new patients

Locations

29W140 Butterfield Rd
Ste 106
Warrenville, IL 60555
Phone (630) 393-4114

29W585 Batavia Rd
Ste 4
Warrenville, IL 60555
Phone (630) 393-4114

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1376657999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "EARLVILLE",
            "state": "IL",
            "postal_code": "605180174",
            "telephone_number": "815-246-8611",
            "fax_number": "815-246-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W RAILROAD ST",
            "city": "EARLVILLE",
            "state": "IL",
            "postal_code": "605183119",
            "telephone_number": "815-246-8611",
            "fax_number": "815-246-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGHENBAUGH",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0002222663",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE TAX ID",
            "identifier": "36-4246500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Earlville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.