Organization Active NPI

Scott Spine and Therapy Inc

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1952684078
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002298A Issued in IN
Legal business name
SCOTT SPINE AND THERAPY INC
Doing business as
Summit Spine and Therapy
Practice address
5750 E 91St St Ste B
Indianapolis, IN 46250-1380
Phone
(317) 284-1329
Fax
(317) 284-1346
NPI assigned
Sep 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Clark G Scott, DCNPI 1386701233
Title
Owner
Phone
(317) 284-1329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002298A IN Primary

Addresses

Primary practice location

5750 E 91St St Ste B
Indianapolis, IN 46250-1380

Mailing address

5750 E 91St St Ste B
Indianapolis, IN 46250-1380
Phone (317) 284-1329

Other names 1

  • Summit Spine and Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521001549 IN Part B Supplier - Clinic/Group Practice 7214150176 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

5750 E 91st St
Ste B
Indianapolis, IN 46250
Phone (317) 284-1329

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1952684078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 E 91ST ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501380",
            "telephone_number": "317-284-1329",
            "fax_number": "317-284-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 E 91ST ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501380",
            "telephone_number": "317-284-1329",
            "fax_number": "317-284-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SPINE AND THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-25",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-284-1329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002298A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Spine and Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.