Organization Active NPI

Connect Chiropractic LLC

  • Chiropractor
  • Nevada, IA
National Provider Identifier
1619737749
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNECT CHIROPRACTIC LLC
Practice address
1210 6TH St Ste 103
Nevada, IA 50201-1548
Phone
(515) 934-8267
Fax
(515) 934-8269
NPI assigned
Mar 19, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Dustin Scott, DCNPI 1770347155
Title
Owner
Phone
(515) 509-7394

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1210 6TH St Ste 103
Nevada, IA 50201-1548

Mailing address

1210 6TH St Ste 103
Nevada, IA 50201-1548
Phone (515) 934-8267

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422000245 IA Part B Supplier - Clinic/Group Practice 0749629939 Receives reassigned benefits from 1 practitioner
Practice locations: Nevada, IA

National Provider Directory

National Provider Directory

Locations

1210 6th St
Ste 103
Nevada, IA 50201
Phone (515) 934-8267

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1619737749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 6TH ST STE 103",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011548",
            "telephone_number": "515-934-8267",
            "fax_number": "515-934-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 6TH ST STE 103",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011548",
            "telephone_number": "515-934-8267",
            "fax_number": "515-934-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-509-7394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.