Individual provider Active NPI

Scott A Hodes, D.C.

  • Chiropractor
  • Waterbury, CT
National Provider Identifier
1912964826
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000899 Issued in CT
Practice address
1249 W Main St
Suite 7
Waterbury, CT 06708-3100
Phone
(203) 754-2300
Fax
(203) 754-2301
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000899 CT Primary

Addresses

Primary practice location

1249 W Main St
Suite 7
Waterbury, CT 06708-3100

Mailing address

1249 W Main St
Suite 7
Waterbury, CT 06708-3100
Phone (203) 754-2300

Other identifiers 12

IdentifierTypeStateIssuer
000899OtherCTLANDMARK
745717OtherCTCONNECTICARE
NHS467OtherCTOXFORD
050000899CT02OtherCTANTHEM BLUE CROSS
742701OtherCTCONNECTICARE
350001020OtherCTMEDICARE
050000899CT04OtherCTBLUE CROSS BLUE SHIELD
1497921449OtherCTNPI
4298598OtherCTAETNA
000001470878OtherCTPRIVATE HEALTHCARE SYSTEM
2113832OtherCTAETNA
71314OtherCTAMERICAN SPECIALTY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000225 CT Practitioner - Chiropractic 3072688480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1249 W Main St
Suite 7
Waterbury, CT 06708-3100
Phone (203) 754-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hodes Chiropractic LLC Chiropractor CurrentSince Jun 20, 2013 Accepting new patients
Physicians Health & Wellness Center, P.C. Past Accepting new patients
Back to Health Chiropractic of Stratford PC Chiropractor Past Accepting new patients

Locations

1249 W Main St
Ste 7
Waterbury, CT 06708
Phone (203) 754-2300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1912964826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 W MAIN ST",
            "address_2": "SUITE 7",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083100",
            "telephone_number": "203-754-2300",
            "fax_number": "206-754-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 W MAIN ST",
            "address_2": "SUITE 7",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083100",
            "telephone_number": "203-754-2300",
            "fax_number": "203-754-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODES",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "000899",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "745717",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NHS467",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "050000899CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "742701",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "350001020",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050000899CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497921449",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4298598",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "000001470878",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2113832",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY",
            "identifier": "71314",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.