Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Scott Theodor Godbersen, DC

Individual provider Chiropractor · NPI 1215940440

Dr. Scott Theodor Godbersen, DC is a Chiropractic in Neosho, Missouri. Graduated from Northwestern College of Chiropractic in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Minnesota, Missouri and Oklahoma.

Years since qualifying
20
Trained at
Northwestern College of Chiropractic
Licensed in
MN, MO, OK
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1400 Waldo Halter Mem Dr
Neosho, MO 64850-2034
Phone: (417) 455-1025
Fax: (417) 455-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2008015775 (MO)
Chiropractor Taxonomy 111N00000X · Licence 4833 (MN)
Chiropractor Taxonomy 111N00000X · Licence 3847 (OK)

Record details

NPI number1215940440
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESApril 6, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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