Individual provider Active NPI

Gary Victor Scott, D.C.

  • Chiropractor
  • Safford, AZ
National Provider Identifier
1396885638
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4866 Issued in AZ
Practice address
1431 W Thatcher Blvd
Safford, AZ 85546-3306
Phone
(928) 428-0581
Fax
(928) 428-0581
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4866 AZ Primary

Addresses

Primary practice location

1431 W Thatcher Blvd
Safford, AZ 85546-3306

Mailing address

520 S 11TH Ave
Safford, AZ 85546-3149
Phone (928) 428-0581

Other identifiers 2

IdentifierTypeStateIssuer
AZ0235780OtherAZBCBS NUMBER
23-05-4866OtherAZWORKER COMP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000382 AZ Practitioner - Chiropractic 6608891627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 S 11TH Ave
Safford, AZ 85546-3149
Phone (928) 428-0581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic LLC Chiropractor CurrentSince Sep 25, 2008 Accepting new patients

Locations

1431 W Thatcher Blvd
Safford, AZ 85546
Phone (602) 428-0581

520 S 11th Ave
Safford, AZ 85546
Phone (928) 428-0581

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1396885638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S 11TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463149",
            "telephone_number": "928-428-0581",
            "fax_number": "928-428-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463306",
            "telephone_number": "928-428-0581",
            "fax_number": "928-428-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GARY",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "AZ0235780",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMP NUMBER",
            "identifier": "23-05-4866",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.