Dr. Shane Scott, SC Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR. SHANE SCOTT, SC CHIROPRACTIC INC.

Practice address

13071 Brookhurst St Ste 110
Garden Grove, CA 92843-1047

Phone

(714) 839-8144

Fax

(714) 908-2328

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shane Mark Scott, DC,NPI 1467522649

Title

President

Phone

(714) 585-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane M. Scott, D.C.

  • Chiropractor
  • Garden Grove, CA
  • NPI 1467522649
  NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1770322653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431047",
            "telephone_number": "714-839-8144",
            "fax_number": "714-908-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431047",
            "telephone_number": "714-839-8144",
            "fax_number": "714-908-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHANE SCOTT, SC CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-585-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "24217",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.