Dominique and Donna Scott Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25377 Issued in CA

Legal business name

DOMINIQUE AND DONNA SCOTT CHIROPRACTIC, INC.

Practice address

868 Manhattan Beach Blvd Ste 1
Manhattan Beach, CA 90266-4962

Phone

(310) 546-5007

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dominique Scott, DC

Title

President

Phone

(310) 546-5007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Chiropractic of the South Bay Doing business as

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1780856989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 MANHATTAN BEACH BLVD STE 1",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664962",
            "telephone_number": "310-546-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 MANHATTAN BEACH BLVD STE 1",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664962",
            "telephone_number": "310-546-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE AND DONNA SCOTT CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-546-5007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W16809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Chiropractic of the South Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.