Robert Scott Waterson, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

DC011560 Issued in PA

Practice address

19413 Jingle Shell Way Unit 2
Lewes, DE 19958-6307

Phone

(908) 319-1446

NPI assigned

Jan 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Synapse Brain & Spine Center LLC

  • Clinic/Center
  • Lewes, DE
  • NPI 1710762786
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1730840257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19413 JINGLE SHELL WAY UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586307",
            "telephone_number": "908-319-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19413 JINGLE SHELL WAY UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199586307",
            "telephone_number": "908-319-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERSON",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "DE",
            "license": "F1-0011105",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC011560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Ward, PTA
• Rita Lynn Ward
• Angela Warrington, RN
• Mary Warwick
• Bushra Waseem
• Alison E Watson, MSN, RN, CEN
• Brenda Watson, RN
• Stefanie Lynn Watson
• Chelsey Webb
• Kathleen Webb

• Neurology Chiropractor in Lewes, DE
• Providers in Lewes, DE by specialty
• Neurology Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.