Active NPI
Sean A Scaramuzzo, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1508187659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4009
- Practice address
- 1004 NW Milwaukee Ave
Suite 200
Bend, OR 97701-2243 - Phone
- (541) 312-9794
- Fax
- (541) 312-9795
- NPI assigned
- Jun 11, 2010
- 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 | 4009 | OR | Primary |
Addresses
Primary practice location
1004 NW Milwaukee Ave
Suite 200
Bend, OR 97701-2243
Mailing address
1004 NW Milwaukee Ave
Suite 200
Bend, OR 97701-2243
Phone (541) 312-9794
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 |
|---|---|---|---|
| 4009 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1508187659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 NW MILWAUKEE AVE",
"address_2": "SUITE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977012243",
"telephone_number": "541-312-9794",
"fax_number": "541-312-9795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 NW MILWAUKEE AVE",
"address_2": "SUITE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977012243",
"telephone_number": "541-312-9794",
"fax_number": "541-312-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARAMUZZO",
"first_name": "SEAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.