Individual provider Active NPI

Scott Robert Semlow, DC

  • Chiropractor
  • Norton Shores, MI
National Provider Identifier
1417020389
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007666 Issued in MI
Practice address
5353 Grand Haven Rd
Suite a
Norton Shores, MI 49441
Phone
(231) 798-9355
Fax
(231) 799-1777
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007666 MI Primary

Addresses

Primary practice location

5353 Grand Haven Rd
Suite a
Norton Shores, MI 49441

Mailing address

5353 Grand Haven Rd
Suite a
Norton Shores, MI 49441
Phone (231) 798-9355

Other identifiers 2

IdentifierTypeStateIssuer
4653981MedicaidMI
950F111190OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000222 MI Practitioner - Chiropractic 2668444027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5353 Grand Haven Rd
Suite a
Norton Shores, MI 49441-5985
Phone (231) 799-9616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301007666MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Semlow Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

4543 Grand Haven Rd
Ste D
Norton Shores, MI 49441
Phone (231) 799-9616

5353 Grand Haven Rd
Norton Shores, MI 49441
Phone (231) 798-9355

5353 Grand Haven Rd
Ste A
Norton Shores, MI 49441
Phone (231) 798-9355

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1417020389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 GRAND HAVEN RD",
            "address_2": "SUITE A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-798-9355",
            "fax_number": "231-799-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GRAND HAVEN RD",
            "address_2": "SUITE A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-798-9355",
            "fax_number": "231-799-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLOW",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4653981",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F111190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.