Scott Philip Ketterling, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003487 Issued in MN

Practice address

217 Plum St
Suite 120
Red Wing, MN 55066-2351

Phone

(651) 385-5999

Fax

(651) 385-5999

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthways Integrative Medicine PC

  • Family Nurse Practitioner
  • Red Wing, MN
  • NPI 1548941859
  Medicare reassignment NPD Authorized official
• Natural Touch Chiropractic, PLLC

  • Chiropractor
  • Red Wing, MN
  • NPI 1932366150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1609927656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 KENTUCKY AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444616",
            "telephone_number": "952-898-0696",
            "fax_number": "651-385-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PLUM ST",
            "address_2": "SUITE 120",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662351",
            "telephone_number": "651-385-5999",
            "fax_number": "651-385-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERLING",
        "first_name": "SCOTT",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126667500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory A Kays, MD
• Autumn Margaret Kelly
• Megan Kathleen Kelly
• Ryan Patrick Kelly
• Samantha Kennedy
• Megan Lynn Kindom, MD
• Brittany Michele Kingston, AAS
• Nicole Kirchner, LPCC
• Curtis Francis Kline
• Kayla Agnetta Klippen

• Chiropractor in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.