Individual provider Active NPI

Scott Thomas Duddy, D.C.

  • Chiropractor
  • Easton, PA
National Provider Identifier
1639130685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004349L Issued in PA
Practice address
1700 Northampton St
Suite D
Easton, PA 18042-3144
Phone
(610) 253-5332
Fax
(610) 253-5795
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004349L PA Primary

Addresses

Primary practice location

1700 Northampton St
Suite D
Easton, PA 18042-3144

Mailing address

1700 Northampton St
Suite D
Easton, PA 18042-3144
Phone (610) 253-5332

Other identifiers 13

IdentifierTypeStateIssuer
1032446OtherPAASHN
607153OtherPAACN
12047382OtherPAMULTIPLAN
4364644OtherPACIGNA
926028OtherPAUNITED HEALTHCARE
02870600OtherPACAPITAL BLUE CROSS
607153OtherPAGREAT WEST HEALTHCARE
0530098000OtherPAAMERIHEALTH / KEYSTONE
5441323OtherPAAETNA
DU695076OtherPAHIGHMARK BC/BS
P907568OtherPAOXFORD HEALTH PLAN
16170OtherPAOPERATING ENG LOCAL 825
P907568OtherPATRIAD HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000341 PA Practitioner - Chiropractic 7911182290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duddy ChiropracticGroup PAC ID 7315927357, 2 clinicians

Practice addresses (Care Compare)

301 S 22ND St
Easton, PA 18042-3811
Phone (610) 253-5332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duddy Chiropractic Chiropractor CurrentSince May 24, 1990 Accepting new patients

Locations

1700 Northampton St
Ste D
Easton, PA 18042
Phone (610) 253-5332

301 S 22nd St
Easton, PA 18042
Phone (610) 253-5332

6 Mount Bethel Plz
Mount Bethel, PA 18343
Phone (570) 897-7023

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639130685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTHAMPTON ST",
            "address_2": "SUITE D",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423144",
            "telephone_number": "610-253-5332",
            "fax_number": "610-253-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORTHAMPTON ST",
            "address_2": "SUITE D",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423144",
            "telephone_number": "610-253-5332",
            "fax_number": "610-253-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDY",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004349L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1032446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "607153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12047382",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4364644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "926028",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02870600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "607153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH / KEYSTONE",
            "identifier": "0530098000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5441323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "DU695076",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P907568",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING ENG LOCAL 825",
            "identifier": "16170",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIAD HEALTHCARE",
            "identifier": "P907568",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.