Active NPI
Scott David Kerr, D.C.
- Chiropractor
- Port Arthur, TX
National Provider Identifier
1467569806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4250
- Practice address
- 2401 Jefferson Dr
Port Arthur, TX 77642-1805 - Phone
- (409) 962-3123
- Fax
- (409) 962-3249
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4250 | TX | Primary |
Addresses
Primary practice location
2401 Jefferson Dr
Port Arthur, TX 77642-1805
Mailing address
2401 Jefferson Dr
Port Arthur, TX 77642-1805
Phone (409) 962-3123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601586 | Other | TX | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4250 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467569806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 JEFFERSON DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776421805",
"telephone_number": "409-962-3123",
"fax_number": "409-962-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 JEFFERSON DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776421805",
"telephone_number": "409-962-3123",
"fax_number": "409-962-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "SCOTT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "601586",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.