Active NPI
Scott M Shaffer, D.C.
- Chiropractor
- Utica, OH
National Provider Identifier
1861553547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1380
- Practice address
- 122 South Main St
Utica, OH 43080-0541 - Phone
- (740) 892-4622
- Fax
- (740) 892-4622
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1380 | OH | Primary |
Addresses
Primary practice location
122 South Main St
Utica, OH 43080-0541
Mailing address
PO Box 541
Utica, OH 43080-0541
Phone (740) 892-4622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130312000277 | OH | Practitioner - Chiropractic | 9436304755 | Practice locations: Utica, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
122 S Main St
Utica, OH 43080-7712
Phone (740) 892-4622
PO Box
Suite 541
Utica, OH 43080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861553547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541",
"city": "UTICA",
"state": "OH",
"postal_code": "430800541",
"telephone_number": "740-892-4622",
"fax_number": "740-892-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SOUTH MAIN ST",
"city": "UTICA",
"state": "OH",
"postal_code": "430800541",
"telephone_number": "740-892-4622",
"fax_number": "740-892-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "SCOTT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.