Individual provider Active NPI

Kara Michelle Scott, DC

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1811613722
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15350 Issued in TX
Practice address
2603 Cherry LN
Fort Worth, TX 76116-3919
Phone
(817) 560-1625
Fax
(817) 560-1627
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15350 TX Primary

Addresses

Primary practice location

2603 Cherry LN
Fort Worth, TX 76116-3919

Mailing address

2603 Cherry LN
Fort Worth, TX 76116-3919
Phone (817) 560-1625

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address insclc@att.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205002300 TX Practitioner - Chiropractic 9830568328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Lane Chiropractic, Inc.Group PAC ID 6305032087, 2 clinicians

Practice addresses (Care Compare)

2603 Cherry LN
Fort Worth, TX 76116-3919
Phone (817) 560-1625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15350TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Lane Chiropractic, Inc. Chiropractor CurrentSince Nov 2, 2022 Accepting new patients

Locations

2603 Cherry Ln
Fort Worth, TX 76116
Phone (817) 560-1625

Organizations & group practices 1

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1811613722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CHERRY LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761163919",
            "telephone_number": "817-560-1625",
            "fax_number": "817-560-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KARA",
        "middle_name": "MICHELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insclc@att.net",
            "affiliation": "N",
            "address_1": "2603 Cherry Ln",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761163919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.