Douglas Edward Scott, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1999134951 Issued in MO

Practice address

3734 South Ave Ste a
Springfield, MO 65807-5291

Phone

(417) 862-2633

Fax

(417) 866-0243

NPI assigned

Apr 6, 2007

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chestnut Wellness Center PC

  • Chiropractor
  • Springfield, MO
  • NPI 1336362896
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1679695878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 SOUTH AVE STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075291",
            "telephone_number": "417-862-2633",
            "fax_number": "417-866-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 SOUTH AVE STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075291",
            "telephone_number": "417-862-2633",
            "fax_number": "417-866-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "1999134951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Scott, PA
• Carol L Scott, O.D.
• Christy A Scott, CRNA
• Craig Stephen Scott, DDS
• Dana Ann Scott, DPT
• Elizabeth Scott, MSW, LCSW
• Grant Scott, MD
• Jana Lea Scott, NP-C
• Janis Lynn Scott, DDS
• Jayden Scott, AAS-HIS

• Sports Physician Chiropractor in Springfield, MO
• Providers in Springfield, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.