Organization Active NPI

Dr James Spencer Jr Chiropractic Center PLC

  • Chiropractor
  • Hudson, MI
National Provider Identifier
1003193244
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005974 Issued in MI
Legal business name
DR JAMES SPENCER JR CHIROPRACTIC CENTER PLC
Practice address
509 S Meridian Rd
Hudson, MI 49247-9341
Phone
(517) 448-3000
Fax
(517) 448-6900
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. James Clifford Spencer Jr., D.C.NPI 1285656298
Title
Member
Phone
(517) 448-3000

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 2301005974 MI Primary

Addresses

Primary practice location

509 S Meridian Rd
Hudson, MI 49247-9341

Mailing address

PO Box 111
Hudson, MI 49247-0111
Phone (517) 448-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000582 MI Part B Supplier - Clinic/Group Practice 3274708508 Receives reassigned benefits from 2 practitioners
Practice locations: Camden, MI; Hudson, MI

National Provider Directory

National Provider Directory

Locations

509 S Meridian Rd
Hudson, MI 49247
Phone (517) 448-3000

Practitioners & affiliated clinicians

Practitioners 2

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": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1003193244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "HUDSON",
            "state": "MI",
            "postal_code": "492470111",
            "telephone_number": "517-448-3000",
            "fax_number": "517-448-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MERIDIAN RD",
            "city": "HUDSON",
            "state": "MI",
            "postal_code": "492479341",
            "telephone_number": "517-448-3000",
            "fax_number": "517-448-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES SPENCER JR CHIROPRACTIC CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "517-448-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.