Individual provider Active NPI

Scott A. Lally, D.C.

  • Chiropractor
  • Yakima, WA
National Provider Identifier
1912184839
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034857 Issued in WA
Practice address
1508 S 36TH Ave
Yakima, WA 98902-4859
Phone
(509) 248-0301
Fax
(509) 248-0337
NPI assigned
Jan 22, 2008
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034857 WA Primary

Addresses

Primary practice location

1508 S 36TH Ave
Yakima, WA 98902-4859

Mailing address

1508 S 36TH Ave
Yakima, WA 98902-4859
Phone (509) 248-0301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000803 WA Practitioner - Chiropractic 2860575040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Lally Chiropractic Clinic PSGroup PAC ID 8729089222, 2 clinicians

Practice addresses (Care Compare)

1508 S 36TH Ave
Yakima, WA 98902-4859
Phone (509) 248-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034857WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lally Chiropractic Clinic PS Chiropractor CurrentSince Jan 15, 2008 Accepting new patients

Locations

1508 S 36th Ave
Yakima, WA 98902
Phone (509) 248-0301

Organizations & group practices 1

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1912184839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S 36TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024859",
            "telephone_number": "509-248-0301",
            "fax_number": "509-248-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S 36TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024859",
            "telephone_number": "509-248-0301",
            "fax_number": "509-248-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.