Individual provider Active NPI

Scott Allen Light, D.C.

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1841368909
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4399 Issued in OH
Practice address
267 Electric Ave
Westerville, OH 43081-2676
Phone
(704) 806-2882
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2610 NC
Chiropractor 111N00000X 4399 OH Primary

Addresses

Primary practice location

267 Electric Ave
Westerville, OH 43081-2676

Mailing address

111 Commerce Centre Dr Ste 305
Huntersville, NC 28078-5805
Phone (704) 875-8880

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2610NCMDClinical Psychologist
4399OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Derrick W. Denman D.C. P.a. Chiropractor Past Accepting new patients
Kurtz Chiropractic Inc Chiropractor PastSince Oct 1, 1996 Accepting new patients
Alternative Chiropractic PLLC Chiropractor PastSince Jan 1, 2014 Accepting new patients

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1841368909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COMMERCE CENTRE DR STE 305",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785805",
            "telephone_number": "704-875-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 ELECTRIC AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812676",
            "telephone_number": "704-806-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2610",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.