Scott Douglas Vanina, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010785 Issued in PA

Practice address

1800 E High St
Sutie 375
Pottstown, PA 19464-3239

Phone

(610) 970-5454

Fax

(610) 970-5477

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Scott Douglas Vanina Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vanina Chiropractic LLC

  • Sports Physician Chiropractor
  • Royersford, PA
  • NPI 1467992131
  Medicare reassignment Authorized official
• Performance Chiropractic and Sports Clinic

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1487745477
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1790704104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST",
            "address_2": "SUTIE 375",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643239",
            "telephone_number": "610-970-5454",
            "fax_number": "610-970-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST",
            "address_2": "SUTIE 375",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643239",
            "telephone_number": "610-970-5454",
            "fax_number": "610-970-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANINA",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4472",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010785",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "4277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120187500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "VANINA",
            "middle_name": "DOUGLAS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sophia Patrice Valeriano
• John Patrick Valitski Jr.
• Kathleen Vanburen, CPNP
• Jennifer N. Vance, PTA
• Jillian Grace Vander Zwan
• Samantha Vanschaick
• Krysten Varano, CPNP-PC
• Kathleen Lydon Varley, PH.D.
• Vascular Diagnostic Center PC
• Seema Vasu, D.O.

• Chiropractor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.