Scott Allen Syracuse, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006982 Issued in NY

Practice address

12364 Main Rd
Akron, NY 14001-9307

Phone

(716) 542-3530

Fax

(716) 542-3619

NPI assigned

May 18, 2006

Last updated

Dec 15, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Syracuse Chiropractic PC

  • Chiropractor
  • Akron, NY
  • NPI 1851524987
  Medicare reassignment NPD Authorized official
• SNG Chiropractic P.C.

  • Neurology Chiropractor
  • Buffalo, NY
  • NPI 1972557320
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1750334033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12364 MAIN RD",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019307",
            "telephone_number": "716-542-3530",
            "fax_number": "716-542-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12364 MAIN RD",
            "city": "AKRON",
            "state": "NY",
            "postal_code": "140019307",
            "telephone_number": "716-542-3530",
            "fax_number": "716-542-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRACUSE",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Stone II, OTR/L
• Heather Connolly Stone, M.S. SLP-CCC
• Micah Suckow I
• Lauren Beth Sutton, L.M.T.
• Syracuse Chiropractic PC
• Nicole Tedesco, LPN
• Bernadette Michelle Thomas, RPH
• Mary Valente
• David Charles Wilkes, O.D.
• Willcare

• Chiropractor in Akron, NY
• Providers in Akron, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.