Active NPI
Scott David Coon, DC
- Chiropractor
- Fairport, NY
National Provider Identifier
1669449468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007792
- Practice address
- 6605 Pittsford Palmyra Rd Ste E12
Fairport, NY 14450-3406 - Phone
- (585) 230-5324
- NPI assigned
- Mar 1, 2006
- Last updated
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007792 | NY | Primary |
Addresses
Primary practice location
6605 Pittsford Palmyra Rd Ste E12
Fairport, NY 14450-3406
Mailing address
6605 Pittsford Palmyra Rd Ste E12
Fairport, NY 14450-3406
Phone (585) 230-5324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02117788 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
465 W Commercial St
E Rochester, NY 14445-2201
Phone (585) 425-9820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007792 | NY | MD | Speech-Language Pathologist |
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.
-
- Chiropractor
- Fairport, NY
- NPI 1790834398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1669449468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 PITTSFORD PALMYRA RD STE E12",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503406",
"telephone_number": "585-230-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 PITTSFORD PALMYRA RD STE E12",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503406",
"telephone_number": "585-230-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "SCOTT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "007792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02117788",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.