Active NPI
Christopher Scott Yamamoto, D.C.
- Chiropractor
- Terre Haute, IN
National Provider Identifier
1588668487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001606
- Practice address
- 2940 Professional Lane
Terre Haute, IN 47802-3300 - Phone
- (812) 232-8580
- Fax
- (812) 232-8580
- NPI assigned
- Jun 8, 2005
- 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 | 08001606 | IN | Primary |
Addresses
Primary practice location
2940 Professional Lane
Terre Haute, IN 47802-3300
Mailing address
2940 Professional Lane
Terre Haute, IN 47802-3300
Phone (812) 232-8580
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000091653 | Other | IN | ANTHEM BC & BS UPIN |
| 350038796 | Other | IN | MEDICARE R.R. PROVIDER NU |
| 351995451 | Other | IN | TAX IDENTIFIER NUMBER |
| 200107460B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101210000654 | IN | Practitioner - Chiropractic | 4880881267 | Practice locations: Terre Haute, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2940 Professional LN
Terre Haute, IN 47802-3300
Phone (812) 232-8580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001606 | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1588668487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 PROFESSIONAL LANE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023300",
"telephone_number": "812-232-8580",
"fax_number": "812-234-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 PROFESSIONAL LANE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023300",
"telephone_number": "812-232-8580",
"fax_number": "812-232-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAMOTO",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC & BS UPIN",
"identifier": "000000091653",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE R.R. PROVIDER NU",
"identifier": "350038796",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFIER NUMBER",
"identifier": "351995451",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200107460B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.