Individual provider Active NPI

Walter Douglas Scott, D.C.

  • Chiropractor
  • Liberty Hill, TX
National Provider Identifier
1669412110
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15180 Issued in TX
Practice address
201 Saint Joseph CT Ste 120
Liberty Hill, TX 78642-3404
Phone
(512) 962-8912
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15180 TX Primary

Addresses

Primary practice location

201 Saint Joseph CT Ste 120
Liberty Hill, TX 78642-3404

Mailing address

201 Saint Joseph CT Ste 120
Liberty Hill, TX 78642-3404
Phone (512) 962-8912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000702 TX Practitioner - Chiropractic 3678585676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Saint Joseph CT
Suite 120
Liberty Hill, TX 78642-3404
Phone (512) 962-8912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15180TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Think 3, LLC Chiropractor CurrentSince Apr 25, 2024 Accepting new patients
Pacific Posture LLC Chiropractor Current Accepting new patients
Tree of Life Chiropractic LLC Chiropractor PastSince Mar 17, 2013 Accepting new patients
John Duppenthaler DC PS Chiropractor Past Accepting new patients
Ryan Coogan DC PS Chiropractor PastSince May 24, 2004 Accepting new patients
RCC PS Chiropractor PastSince Apr 28, 2000 Accepting new patients

Locations

201 Saint Joseph Ct
Ste 120
Liberty Hill, TX 78642
Phone (512) 962-8912

16563 Redmond Way
Ste D
Redmond, WA 98052
Phone (425) 636-1569

Organizations & group practices 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1669412110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT JOSEPH CT STE 120",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786423404",
            "telephone_number": "512-962-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT JOSEPH CT STE 120",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786423404",
            "telephone_number": "512-962-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WALTER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.