Individual provider Active NPI

Scott Kevin Pacheco, D.C.

  • Chiropractor
  • Battle Ground, WA
National Provider Identifier
1912144452
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60927781 Issued in WA
Practice address
1218 SW Scotton Way Ste 102-104
Battle Ground, WA 98604-2718
Phone
(360) 667-5192
NPI assigned
Jan 20, 2009
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30644 CA
Chiropractor 111N00000X CH60927781 WA Primary

Addresses

Primary practice location

1218 SW Scotton Way Ste 102-104
Battle Ground, WA 98604-2718

Mailing address

PO Box 3412
Arlington, WA 98223-3412
Phone (510) 501-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415002552 WA Practitioner - Chiropractic 6103978382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of Mill Plain PLLCGroup PAC ID 6901220573, 3 clinicians

Practice addresses (Care Compare)

7317 E Mill Plain Blvd
Vancouver, WA 98664-1300
Phone (360) 695-4041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of Mill Plain PLLC Chiropractor CurrentSince Feb 6, 2025 Accepting new patients
Chiro One Wellness Center of Battle Ground PLLC Chiropractor CurrentSince Feb 6, 2025 Accepting new patients
Seahurst Chiropractic Clinic Inc. Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Barnick Chiropractic, PS Past Accepting new patients
Hans Freericks Chiropractic Corporation Chiropractor PastSince Sep 24, 2007 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

1218 SW Scotton Way
Ste 102104
Battle Ground, WA 98604
Phone (360) 667-5192

9528 State Ave
Ste B
Marysville, WA 98270
Phone (360) 659-6554

7317 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 695-4041

Organizations & group practices 5

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1912144452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3412",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982233412",
            "telephone_number": "510-501-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 SW SCOTTON WAY STE 102-104",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042718",
            "telephone_number": "360-667-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "SCOTT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30644",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60927781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.