Individual provider Active NPI

Adam Garold Joseph Scofield, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1801380027
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34203 Issued in CA
Practice address
1399 S Winchester Blvd Ste 140
San Jose, CA 95128-4342
Phone
(408) 489-6593
Fax
(408) 261-0766
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34203 CA Primary

Addresses

Primary practice location

1399 S Winchester Blvd Ste 140
San Jose, CA 95128-4342

Mailing address

1019 Audrey Ave
Campbell, CA 95008-6402
Phone (408) 489-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34203CAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: campbellfamilychiropractic.adamscofield@157705.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1801380027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 AUDREY AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086402",
            "telephone_number": "408-489-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 S WINCHESTER BLVD STE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284342",
            "telephone_number": "408-489-6593",
            "fax_number": "408-261-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "ADAM",
        "middle_name": "GAROLD JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.