NPIMap

Individual provider Active NPI

Scott Anthony Shearer, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1962444844
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3248 Issued in OH
Practice address
5791 Cleveland Ave
Columbus, OH 43231-2831
Phone
(614) 901-9695
Fax
(614) 901-9720
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3248 OH Primary

Addresses

Primary practice location

5791 Cleveland Ave
Columbus, OH 43231-2831

Mailing address

5996 Rocky Rill Rd
Columbus, OH 43235-3320
Phone (614) 310-5689

Other identifiers 3

IdentifierTypeStateIssuer
2300825MedicaidOH
000000351712OtherOHBLUE CROSS/BLUESHIELD
664818OtherOHACN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3248OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Ashkettle, D.C.,LLC Chiropractor Past Accepting new patients
East Side Chiropractic Injury Treatment Center, LLC Chiropractor Past Accepting new patients
Minorik Chiropractic Center Chiropractor Past Accepting new patients
Axis Chiropractic LLC Chiropractor Past Accepting new patients
Hope Pharmacy LTD Past Accepting new patients
Minorik Health and Wellness Center Inc PastSince Feb 25, 2016 Accepting new patients

Organizations & group practices 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1962444844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5996 ROCKY RILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353320",
            "telephone_number": "614-310-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312831",
            "telephone_number": "614-901-9695",
            "fax_number": "614-901-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300825",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "000000351712",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "664818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.