Individual provider Active NPI

Scott B. Eckelbarger, D.C.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1447208350
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8001218 Issued in IN
Practice address
2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616
Phone
(260) 515-2903
Fax
(260) 747-1597
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8001218 IN Primary

Addresses

Primary practice location

2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616

Mailing address

2811 Lower Huntington Rd
Fort Wayne, IN 46809-2616
Phone (260) 515-2903

Other identifiers 1

IdentifierTypeStateIssuer
100126790AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
8001218INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Miskelly Chiropractic Center P C Past Accepting new patients
H Hushower DC LLC Chiropractor Past Accepting new patients
Scott B. Eckelbarger D.C. - P.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1447208350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LOWER HUNTINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092616",
            "telephone_number": "260-515-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LOWER HUNTINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092616",
            "telephone_number": "260-515-2903",
            "fax_number": "260-747-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELBARGER",
        "first_name": "SCOTT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "8001218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.