Individual provider Active NPI

Scott Alan Hortman, D.C.

  • Chiropractor
  • Montgomery, TX
National Provider Identifier
1821068776
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8830 Issued in TX
Practice address
15949 Hwy 105 W
Ste 52 a
Montgomery, TX 77356-5660
Phone
(936) 588-5008
Fax
(936) 588-1011
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8830 TX Primary
Chiropractor 111N00000X 1237 LA

Addresses

Primary practice location

15949 Hwy 105 W
Ste 52 a
Montgomery, TX 77356-5660

Mailing address

15949 Hwy 105 W
Ste. 52 a
Montgomery, TX 77356-5660
Phone (936) 588-5008

Other identifiers 3

IdentifierTypeStateIssuer
15920602MedicaidTX
8W7960OtherTXBCBS
P00044424OtherTXRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000609 TX Practitioner - Chiropractic 5890690200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15949 Hwy 105 W 52a
Hortman Family Chiropractic
Montgomery, TX 77356-5660
Phone (936) 588-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1237LAMDClinical Psychologist
8830TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
STS International LLC Chiropractor CurrentSince Jan 1, 2007 Accepting new patients

Locations

15949 Highway 105 W
Ste 52A
Montgomery, TX 77356
Phone (936) 588-5008

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1821068776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15949 HWY 105 W",
            "address_2": "STE. 52 A",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565660",
            "telephone_number": "936-588-5008",
            "fax_number": "936-588-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15949 HWY 105 W",
            "address_2": "STE 52 A",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565660",
            "telephone_number": "936-588-5008",
            "fax_number": "936-588-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTMAN",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8830",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15920602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8W7960",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00044424",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.