Individual provider Active NPI

Scott Cameron Close, D.C.

  • Chiropractor
  • Baxter, MN
National Provider Identifier
1902020969
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3492 Issued in MN
Practice address
7217 Excelsior Rd Ste 105
Baxter, MN 56425-8657
Phone
(218) 454-1390
Fax
(218) 454-1391
NPI assigned
Apr 12, 2007
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3492 MN Primary

Addresses

Primary practice location

7217 Excelsior Rd Ste 105
Baxter, MN 56425-8657

Mailing address

7217 Excelsior Rd Ste 105
Baxter, MN 56425-8657
Phone (218) 454-1390

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Dental PastSince Aug 9, 2020 Accepting new patients
Greatlakes Injury Center Chiropractor PastSince Jan 18, 2019 Accepting new patients
Baxter Dental PLLC PastSince Jun 21, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1902020969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 EXCELSIOR RD STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258657",
            "telephone_number": "218-454-1390",
            "fax_number": "218-454-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 EXCELSIOR RD STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258657",
            "telephone_number": "218-454-1390",
            "fax_number": "218-454-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "SCOTT",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.