Patch Movement PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

946 Issued in ND

Legal business name

PATCH MOVEMENT PLLC

Practice address

232 W Front Ave
Bismarck, ND 58504-5503

Phone

(701) 751-1660

Fax

(701) 751-3717

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carlyle W Scott, D.CNPI 1265877492

Title

Owner

Phone

(701) 751-1660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealthSource of Bismarck South Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlyle William Scott, D.C.

  • Chiropractor
  • Bismarck, ND
  • NPI 1265877492
  NPD (past) Authorized official

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1629420765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045503",
            "telephone_number": "701-751-1660",
            "fax_number": "701-751-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045503",
            "telephone_number": "701-751-1660",
            "fax_number": "701-751-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCH MOVEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CARLYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-751-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18040",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Bismarck South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Parsons
• Michele Margaret Pasierb, MD
• Erin Pasley
• Kayla Passaro
• Arianna Passeri, SLP
• Jessica Patch
• Aaron Burke Patchen, DC
• Andrea L Patchen
• Mahesh N Patel, MD
• Poonam Patel

• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.