Individual provider Active NPI

Jonathan Freeman Scudder, DC

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1760211858
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR0008766 Issued in CO
Practice address
3491 E Harmony Rd Ste 230
Fort Collins, CO 80528-8824
Phone
(970) 449-0285
Fax
(720) 925-5897
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR0008766 CO Primary

Addresses

Primary practice location

3491 E Harmony Rd Ste 230
Fort Collins, CO 80528-8824

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599

Other practice location 1

6005 American Oaks St Apt 207
Loveland, CO 80538-7353
Phone (907) 500-2431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916003934 CO Practitioner - Chiropractic 8325589401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians

Practice addresses (Care Compare)

3491 E Harmony Rd
Suite 230
Fort Collins, CO 80528-8824
Phone (970) 449-0285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR0008766COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Pain Center Chiropractor CurrentSince Aug 5, 2024 Accepting new patients

Locations

3491 E Harmony Rd
Ste 230
Fort Collins, CO 80528
Phone (970) 449-0285

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1760211858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599",
            "fax_number": "720-925-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 E HARMONY RD STE 230",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288824",
            "telephone_number": "970-449-0285",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 American Oaks St Apt 207",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805387353",
            "country_code": "US",
            "telephone_number": "907-500-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUDDER",
        "first_name": "JONATHAN",
        "middle_name": "FREEMAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.