Scott David Stuck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009640 Issued in IL

Practice address

23915 W Main St
Unit 103
Plainfield, IL 60544-1967

Phone

(815) 230-9070

Fax

(815) 230-9334

NPI assigned

May 24, 2006

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Chiropractic, P.C.Group PAC ID 0749210854, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Street Chiropractic, P.C.

  • Chiropractor
  • Plainfield, IL
  • NPI 1639394943
  Medicare reassignment Care Compare group NPD Authorized official
• Main Street Chiropractic

  • Health Maintenance Organization
  • Plainfield, IL
  • NPI 1205223781
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1851346001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "address_2": "UNIT 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441967",
            "telephone_number": "815-230-9070",
            "fax_number": "815-230-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "address_2": "UNIT 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441967",
            "telephone_number": "815-230-9070",
            "fax_number": "815-230-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9932028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Vasquez Streitz, D.M.D
• Stephanie L Stremp
• Nashayla Faye Strickling
• Robert Stroud
• Christian Paul Struven III, M.D.
• Stacie Britt Stuck, D.C.
• Suburban Diagnostic Inc
• Suburban Foot & Ankle Associates, Inc
• Success Nurse Agency Inc
• Successful Kids

• Chiropractor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.