Individual provider Active NPI

Scott Kevin Dement, D.C.

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1649499930
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5892 Issued in AZ
Practice address
6520 E Carondelet Dr
Tucson, AZ 85710-2117
Phone
(520) 298-4999
NPI assigned
Apr 24, 2007
Last updated
Apr 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5892 AZ Primary

Addresses

Primary practice location

6520 E Carondelet Dr
Tucson, AZ 85710-2117

Mailing address

6520 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 298-4999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000395 AZ Practitioner - Chiropractic 7810970936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Dement Family Chiropractic TrustGroup PAC ID 1052301603, 2 clinicians

Practice addresses (Care Compare)

6520 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 298-4999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dement Family Chiropractic Trust Chiropractor CurrentSince May 3, 2001 Accepting new patients

Locations

6520 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 298-4999

6520 E Carondelet Dr
Bldg C
Tucson, AZ 85710

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1649499930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-298-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-298-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "SCOTT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.