Kaleb Ryan Scroggin, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

CHIR009817 Issued in GA

Practice address

5102 Paulsen St BLDG 7
Savannah, GA 31405-4624

Phone

(912) 376-9191

Fax

(912) 480-9553

NPI assigned

Mar 20, 2021

Last updated

Mar 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1871179960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-376-9191",
            "fax_number": "912-480-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST BLDG 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054624",
            "telephone_number": "912-376-9191",
            "fax_number": "912-480-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGIN",
        "first_name": "KALEB",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009817",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIR009817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ra'Naisha Shania Scott
• Sherry Olivia Scott, ST
• Vickie Michelle Scott
• Kensley Screen, RBT
• Amy Marie Scroggin, PA-AA
• SD Dental LLC (Savannah Dental)
• Sea Palm Circle
• Lisa K. Seago, LPC, CCADC, CCS, CRC
• Hannah Seale, PHARMD
• Lennox G. Seales, LPC

• Pediatric Chiropractor in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatric Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.