Scott Walters, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12857 Issued in FL

Practice address

17280 Cherrywood CT Unit 6002
Bonita Springs, FL 34135-8957

Phone

(630) 432-0485

NPI assigned

Jul 3, 2019

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1982266581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 CHERRYWOOD CT UNIT 6002",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358957",
            "telephone_number": "630-432-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 CHERRYWOOD CT UNIT 6002",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358957",
            "telephone_number": "630-432-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreens
• C.M. Wallace, DDS
• Ryan James Wallace, PT, DPT, OCS, MTC
• Caroline Anne Walters, MA CCC SLP
• Phyllis Annette Walters
• Fang Wang
• Aref Wappi, M.D.
• Brittney Leigh Warren, D.C.
• Tammy Webb, OT/L
• Thomas G. Webber, MD

• Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.