John Michael Scott, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC3062 Issued in TX

Practice address

2603 S Cherry LN
Fort Worth, TX 76116-3919

Phone

(817) 560-1625

Fax

(817) 560-1627

NPI assigned

Aug 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherry Lane Chiropractic, Inc.Group PAC ID 6305032087, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cherry Lane Chiropractic, Inc.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1609020338
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1720192982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014953-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Royce Scott, D.C.
• Erica Scott, F.N.P
• Felicia Denise Scott, CNA
• James Alan Scott, MD
• Jessica Scott
• Kara Michelle Scott, DC
• Melanie Ebru Scott, PA-C
• Naomi Scott, MA, LPC
• Phillip Thaddeus Scott, M.D.
• Rachael Taber Scott, DNP, APRN, FNP-C

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.