Individual provider Active NPI

Scott A Newquist, DC

  • Chiropractor
  • Caledonia, MI
National Provider Identifier
1740271204
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006129 Issued in MI
Practice address
10011 Crossroad CT SE
Caledonia, MI 49316-7578
Phone
(616) 275-1234
Fax
(616) 275-1140
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006129 MI Primary

Addresses

Primary practice location

10011 Crossroad CT SE
Caledonia, MI 49316-7578

Mailing address

8618 Grainery Rd SE
Caledonia, MI 49316-8129
Phone (616) 275-1234

Other practice location 1

4551 Cascade Rd SE
Suite C
Grand Rapids, MI 49546-3634
Phone (616) 464-1091

Other practice location 2

8980 N Rodgers Ct SE
Caledonia, MI 49316-8051
Phone (616) 464-1091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000109 MI Practitioner - Chiropractic 2668496852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6735 Cascade Rd SE
Suite 200
Grand Rapids, MI 49546-8705
Phone (616) 308-2137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301006129MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Chiropractic PC Chiropractor CurrentSince Sep 30, 2002 Accepting new patients

Locations

8980 N Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 464-1091

10011 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 275-1234

4551 Cascade Rd SE
Ste C
Grand Rapids, MI 49546
Phone (616) 464-1091

6735 Cascade Rd SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 295-5699

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1740271204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 GRAINERY RD SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168129",
            "telephone_number": "616-275-1234",
            "fax_number": "616-275-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 CROSSROAD CT SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167578",
            "telephone_number": "616-275-1234",
            "fax_number": "616-275-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4551 Cascade Rd SE",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463634",
            "country_code": "US",
            "telephone_number": "616-464-1091",
            "fax_number": "616-301-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8980 N Rodgers Ct SE",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493168051",
            "country_code": "US",
            "telephone_number": "616-464-1091",
            "fax_number": "616-275-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWQUIST",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.