Scott Grove, D.C.
Individual provider Active NPI Chiropractor · Conifer, CO
NPI 1578658175 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578658175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3056 (CO)
- Practice address
- 26689 Pleasant PK Rd Suite 100
Suite 100
Conifer, CO 80433 - Phone
- (303) 838-7250
- Fax
- (303) 816-0129
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3056 | CO | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3056 | CO | Yes |
Addresses
Primary practice location
26689 Pleasant PK Rd Suite 100
Suite 100
Conifer, CO 80433
Mailing address
26689 Pleasant PK Rd Suite 100
Suite 100
Conifer, CO 80433
Phone (303) 838-7250
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.