Organization Active NPI

Scott R. Van Wilpe, D.C., P.a.

Doing business as Chiropractic 1 of Rogers

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1487921607
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
#1166 Issued in AR
Legal business name
SCOTT R. VAN WILPE, D.C., P.A.
Doing business as
Chiropractic 1 of Rogers
Practice address
2870 W Walnut St Ste 3
Rogers, AR 72756-0321
Phone
(479) 636-5322
Fax
(479) 636-5393
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Scott R Van Wilpe, D.C.NPI 1588714620
Title
President
Phone
(479) 636-5322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X #1166 AR Primary

Addresses

Primary practice location

2870 W Walnut St Ste 3
Rogers, AR 72756-0321

Mailing address

2870 W Walnut St Ste 3
Rogers, AR 72756-0321
Phone (479) 636-5322

Other names 1

  • Chiropractic 1 of Rogers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000093 AR Part B Supplier - Clinic/Group Practice 2163699349 Receives reassigned benefits from 1 practitioner
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

2870 W Walnut St
Ste 3
Rogers, AR 72756
Phone (479) 636-5322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1487921607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 W WALNUT ST STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560321",
            "telephone_number": "479-636-5322",
            "fax_number": "479-636-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 W WALNUT ST STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560321",
            "telephone_number": "479-636-5322",
            "fax_number": "479-636-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R. VAN WILPE, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "VAN WILPE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-636-5322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "#1166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic 1 of Rogers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.