Individual provider Active NPI

Scott L Hegseth, D.C.

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1760558183
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3620 Issued in FL
Practice address
11015 N Dale Mabry Hwy Ste B
Ste B
Tampa, FL 33618-3872
Phone
(813) 269-2828
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3620 FL Primary

Addresses

Primary practice location

11015 N Dale Mabry Hwy Ste B
Ste B
Tampa, FL 33618-3872

Mailing address

11015 N Dale Mabry Hwy Ste B
Ste B
Tampa, FL 33618-3872
Phone (813) 269-2828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001411 FL Practitioner - Chiropractic 0840484655 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11015 N Dale Mabry Hwy
Tampa, FL 33618-3872

11015 N Dale Mabry Hwy Suite-B
Tampa, FL 33618-3872
Phone (813) 269-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH3620FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760558183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 N DALE MABRY HWY STE B",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183872",
            "telephone_number": "813-269-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 N DALE MABRY HWY STE B",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183872",
            "telephone_number": "813-269-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGSETH",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.