Individual provider Active NPI

Scott Harder, D.C.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1659572139
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003366 Issued in WA
Practice address
12841 NE 85TH St
Kirkland, WA 98033-8009
Phone
(425) 893-9200
Fax
(425) 893-8046
NPI assigned
May 30, 2007
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003366 WA Primary

Addresses

Primary practice location

12841 NE 85TH St
Kirkland, WA 98033-8009

Mailing address

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 893-9200

Other identifiers 1

IdentifierTypeStateIssuer
0124693OtherWADEPARTMENT OF L & I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000732 WA Practitioner - Chiropractic 1355387457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12841 NE 85TH St
Kirkland, WA 98033-8009
Phone (425) 893-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00003366WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Red-Rose Chiropractic Clinic P.S. Chiropractor CurrentSince Jun 1, 2001 Accepting new patients

Locations

12841 NE 85th St
Kirkland, WA 98033
Phone (425) 827-0334

Organizations & group practices 2

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1659572139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-893-9200",
            "fax_number": "425-893-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 NE 85TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338009",
            "telephone_number": "425-893-9200",
            "fax_number": "425-893-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF L & I",
            "identifier": "0124693",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.