Individual provider Active NPI

Jon Scott, D.C.

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1770684243
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000003025 Issued in TN
Practice address
8805 Kingston Pike Ste 105
Knoxville, TN 37923-5017
Phone
(865) 693-1911
Fax
(865) 693-1911
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0000003025 TN Primary

Addresses

Primary practice location

8805 Kingston Pike Ste 105
Knoxville, TN 37923-5017

Mailing address

8805 Kingston Pike Ste 105
Knoxville, TN 37923-5017
Phone (865) 693-1911

Other identifiers 1

IdentifierTypeStateIssuer
0000003025OtherTNLICENCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128003906 TN Practitioner - Chiropractic 0042486581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8805 Kingston Pike
Suite 105
Knoxville, TN 37923-5017
Phone (865) 693-1911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000003025TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Chiropractic, PLLC Chiropractor CurrentSince Jul 12, 2017 Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Nov 12, 2017 Accepting new patients

Locations

8805 Kingston Pike
Ste 105
Knoxville, TN 37923
Phone (865) 693-1911

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1770684243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 KINGSTON PIKE STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235017",
            "telephone_number": "865-693-1911",
            "fax_number": "865-693-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 KINGSTON PIKE STE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235017",
            "telephone_number": "865-693-1911",
            "fax_number": "865-693-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "0000003025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "0000003025",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.