Devin P Scoresby, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1312 Issued in ID

Practice address

2677 E 17TH St Ste 500
Ammon, ID 83406-6613

Phone

(208) 881-0686

Fax

(208) 538-0034

NPI assigned

Jan 30, 2009

Last updated

Jun 6, 2021By the provider in NPPES

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 ID

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scoresby Chiropractic Center PA

  • Chiropractor
  • Ammon, ID
  • NPI 1346585999
  Medicare reassignment NPD Authorized official
• Fit 4 Life Chiropractic LLC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1316286081
  NPD (past)
• Spine Align Chiropractic Inc

  • Chiropractor
  • Ammon, ID
  • NPI 1225220148
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1649418500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 E 17TH ST STE 500",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066613",
            "telephone_number": "208-881-0686",
            "fax_number": "208-538-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 E 17TH ST STE 500",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066613",
            "telephone_number": "208-881-0686",
            "fax_number": "208-538-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORESBY",
        "first_name": "DEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-30",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649418500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric M Schaat, LCSW
• Dale Allen Schneider, LCSW
• Kari Glee Schultz, DC
• Brittani Schwartz, PHARMD
• Scoresby Chiropractic Center PA
• Laura Lee Scott, NP-C
• Sunnie Kuhn Scott, LCPC
• Angela Lynn Seal, BS, CADC
• Saleena Seals
• Seasons Chiropractic LLC

• Chiropractor in Ammon, ID
• Providers in Ammon, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.