Scott Howard Edlin, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4930 Issued in MN

Practice address

210 3Rd St N
Bayport, MN 55003-1027

Phone

(651) 351-5070

Fax

(651) 351-3198

NPI assigned

Mar 5, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clemmens Chiropractic, P.a.

  • Chiropractor
  • Bayport, MN
  • NPI 1487843819
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1861521544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031027",
            "telephone_number": "651-351-5070",
            "fax_number": "651-351-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031027",
            "telephone_number": "651-351-5070",
            "fax_number": "651-351-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLIN",
        "first_name": "SCOTT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemmens Chiropractic, P.a.
• Croixdale
• Kelsey Dale, LADC
• Kathleen Delander, D.C
• Deborah Diekmann, DDS
• Bruce F Filson, DDS
• Eric John Hering, D.C.
• Inspired Chiropractic
• Susan Larson
• Patrick McNeil, RT(R)

• All providers in Bayport, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.