Shawn Ray Scott, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8479 Issued in TX

Practice address

1333 West Hwy 1431
Kingsland, TX 78639

Phone

(325) 388-2969

Fax

(325) 388-2790

NPI assigned

Mar 6, 2007

Last updated

Oct 14, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central TX Chiropractic & Rehabilitation Clinics, Inc

  • Rehabilitation Chiropractor
  • Kingsland, TX
  • NPI 1487865820
  Medicare reassignment NPD Authorized official
• Cole Physical Therapy Inc

  dba Sports Medicine & Physical Therapy

  • Physical Therapy Clinic/Center
  • Fredericksburg, TX
  • NPI 1255342093
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192320000000",
    "number": "1942330360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786391231",
            "telephone_number": "325-388-2969",
            "fax_number": "325-388-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WEST HWY 1431",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "78639",
            "telephone_number": "325-388-2969",
            "fax_number": "325-388-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SHAWN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8K9500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Earl Raughton
• Kimberly A Russell, MD
• Robert Edwin Sawyer, D.D.S.
• Scal Kingsland LLC (Windchime at the Village)
• Scott & White Hospital - Marble Falls (Baylor Scott & White Clinic - Kingsland)
• Libni Shetler
• Ashlee Lynn Stansel, RDN
• Alejandra Mireya Torres, MD
• Julie Walker Tumblin
• Lacy Watson-Huffstuttler, NP

• Chiropractor in Kingsland, TX
• Providers in Kingsland, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.