Individual provider Active NPI

Scott Folsom, DC

  • Chiropractor
  • Wasilla, AK
National Provider Identifier
1467760397
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
577 Issued in AK
Practice address
802 S Rainbow St Ste 1
Wasilla, AK 99629
Phone
(907) 892-7246
Fax
(907) 892-7226
NPI assigned
Sep 14, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Arctic Chiropractic West Mat-Su, LLC 3 clinicians

Practice addresses (Care Compare)

1830 E Parks Hwy
Suite A120
Wasilla, AK 99654-7380
Phone (907) 373-5054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001534 AK Practitioner - Chiropractic 4981884665 Reassigns benefits to 1 organization

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. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic West Mat-Su, LLC Chiropractor CurrentSince Feb 8, 2014 Accepting new patients
Folsom Health Solutions Chiropractor Past Accepting new patients

Locations

1150 S Colony Way
Ste 3
Palmer, AK 99645

1830 E Parks Hwy
Ste A120
Wasilla, AK 99654
Phone (907) 373-5054

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X 11600 TX
Chiropractor 111N00000X 577 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

802 S Rainbow St Ste 1
Wasilla, AK 99629

Mailing address

1150 S Colony Way Ste 3
PMB 226
Palmer, AK 99645
Phone (907) 892-7246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2013.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1467760397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3",
            "address_2": "PMB 226",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-892-7246",
            "fax_number": "907-892-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S RAINBOW ST STE 1",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99629",
            "telephone_number": "907-892-7246",
            "fax_number": "907-892-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "SCOTT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.