Individual provider Active NPI

Scott Pike, D.C.

  • Chiropractor
  • Danvers, MA
National Provider Identifier
1417068537
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1829 Issued in MA
Practice address
35 Poplar St
Danvers, MA 01923-2230
Phone
(978) 774-7667
Fax
(978) 774-5353
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1829 MA
Chiropractor 111N00000X 1829 MA Primary

Addresses

Primary practice location

35 Poplar St
Danvers, MA 01923-2230

Mailing address

35 Poplar St
Danvers, MA 01923-2230
Phone (978) 774-6462

Other practice location 1

8 High St
Danvers, MA 01923-3008
Phone (978) 774-7667

Other identifiers 1

IdentifierTypeStateIssuer
110099932AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000123 MA Practitioner - Chiropractic 9537181920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Poplar St
Danvers, MA 01923-2230
Phone (978) 774-7667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1829MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Pike Chiropractic Inc Chiropractor CurrentSince Dec 27, 2013 Accepting new patients

Locations

35 Poplar St
Danvers, MA 01923
Phone (978) 774-7667

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417068537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 POPLAR ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232230",
            "telephone_number": "978-774-6462",
            "fax_number": "978-774-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 POPLAR ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232230",
            "telephone_number": "978-774-7667",
            "fax_number": "978-774-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 High St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233008",
            "country_code": "US",
            "telephone_number": "978-774-7667",
            "fax_number": "978-774-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKE",
        "first_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "1829",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110099932A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.