Organization Active NPI

Dr. James a. Scott D.C., Inc.

  • Chiropractor
  • Lady Lake, FL
National Provider Identifier
1699095349
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8867 Issued in FL
Legal business name
DR. JAMES A. SCOTT D.C., INC.
Practice address
1400 N US Highway 441
530
Lady Lake, FL 32159-8975
Phone
(352) 430-1890
Fax
(352) 259-0807
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. James A. Scott, D.C.NPI 1457476806
Title
President
Phone
(352) 430-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8867 FL Primary

Addresses

Primary practice location

1400 N US Highway 441
530
Lady Lake, FL 32159-8975

Mailing address

1400 N US Highway 441
530
Lady Lake, FL 32159-8975
Phone (352) 430-1890

Other identifiers 3

IdentifierTypeStateIssuer
K9034OtherFLMEDICARE
64000OtherFLBLUE CROSS BLUE SHEILD
00001848320 05OtherFLUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000833 FL Part B Supplier - Clinic/Group Practice 2769679851 Receives reassigned benefits from 1 practitioner
Practice locations: Lady Lake, FL

National Provider Directory

National Provider Directory

Locations

1400 N US Highway 441
Ste 530
The Villages, FL 32159
Phone (352) 430-1890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1699095349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "530",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-430-1890",
            "fax_number": "352-259-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "530",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-430-1890",
            "fax_number": "352-259-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES A. SCOTT D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-430-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K9034",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "64000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "00001848320 05",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.