Individual provider Active NPI

Duane D Scarborough, DC

  • Chiropractor
  • Batavia, NY
National Provider Identifier
1396797197
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0022011 Issued in NY
Practice address
4931 Batavia Elba Townline Rd
Batavia, NY 14020-9784
Phone
(585) 343-4427
Fax
(585) 343-8158
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0022011 NY Primary

Addresses

Primary practice location

4931 Batavia Elba Townline Rd
Batavia, NY 14020-9784

Mailing address

4831 Batavia Elba Townline Rd
Batavia, NY 14020-9784
Phone (585) 343-4427

Other names 1

  • Dr. Duane D Scarboroughchiropr&Wellness Service Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000523 NY Practitioner - Chiropractic 5496840506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4831 Batavia Elba Townline Rd
Batavia, NY 14020-1172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0022011NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Duane D Scarborough DC Chiropractic and Wellness Services, PLLC Chiropractor CurrentSince Oct 4, 2007 Accepting new patients

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1396797197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 BATAVIA ELBA TOWNLINE RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209784",
            "telephone_number": "585-343-4427",
            "fax_number": "585-343-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 BATAVIA ELBA TOWNLINE RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140209784",
            "telephone_number": "585-343-4427",
            "fax_number": "585-343-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "DUANE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0022011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUANE",
            "last_name": "SCARBOROUGHCHIROPR&WELLNESS SERVICE",
            "middle_name": "D",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.