Individual provider Active NPI

Scotty Howard Parrish, DC

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1689781106
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5909 Issued in TX
Practice address
4140 34TH St
Lubbock, TX 79410-2640
Phone
(806) 791-4451
Fax
(806) 791-4451
NPI assigned
Aug 23, 2006
Last updated
Oct 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 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 DC5909 TX Primary

Addresses

Primary practice location

4140 34TH St
Lubbock, TX 79410-2640

Mailing address

4140 34TH St
Lubbock, TX 79410-2640
Phone (806) 791-4451

Other identifiers 1

IdentifierTypeStateIssuer
8242368OtherBLUE LINK ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5909TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1689781106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102640",
            "telephone_number": "806-791-4451",
            "fax_number": "806-791-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102640",
            "telephone_number": "806-791-4451",
            "fax_number": "806-791-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "SCOTTY",
        "middle_name": "HOWARD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK ID NUMBER",
            "identifier": "8242368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.