Individual provider Active NPI

Scot David Kocis, D.C.

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1386773992
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007654-L Issued in PA
Practice address
5930 Hamilton Blvd
Ste 104
Allentown, PA 18106-9654
Phone
(610) 965-1414
Fax
(610) 421-8821
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 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 DC007654-L PA Primary

Addresses

Primary practice location

5930 Hamilton Blvd
Ste 104
Allentown, PA 18106-9654

Mailing address

5930 Hamilton Blvd
Ste 104
Allentown, PA 18106-9654
Phone (610) 965-1414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000248 PA Practitioner - Chiropractic 7113105057 Practice locations: Allentown, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5930 Hamilton Blvd
Suite 104
Allentown, PA 18106-9654
Phone (610) 477-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirowerk PC Chiropractor CurrentSince Apr 17, 2023 Accepting new patients

Locations

5930 Hamilton Blvd
Ste 104
Allentown, PA 18106
Phone (610) 965-1414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1386773992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD",
            "address_2": "STE 104",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069654",
            "telephone_number": "610-965-1414",
            "fax_number": "610-421-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD",
            "address_2": "STE 104",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069654",
            "telephone_number": "610-965-1414",
            "fax_number": "610-421-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCIS",
        "first_name": "SCOT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007654-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.