Individual provider Active NPI

Nathan Spencer, DC

  • Chiropractor
  • Washington, NC
National Provider Identifier
1023896818
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5679 Issued in NC
Practice address
1832 W 5TH St
Washington, NC 27889-4006
Phone
(252) 495-0102
NPI assigned
Sep 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5679 NC Primary

Addresses

Primary practice location

1832 W 5TH St
Washington, NC 27889-4006

Mailing address

211 Lovick LN
Pantego, NC 27860-9362
Phone (252) 495-0102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002952 NC Practitioner - Chiropractic 1355798190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpha Chiropractic, PLLCGroup PAC ID 8628330362, 2 clinicians

Practice addresses (Care Compare)

1832 W 5TH St
Washington, NC 27889-4006
Phone (252) 495-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5679NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Chiropractic, PLLC Chiropractor CurrentSince Sep 25, 2023 Accepting new patients

Locations

610 W 15th St
Washington, NC 27889
Phone (252) 632-0322

1832 W 5th St
Washington, NC 27889
Phone (252) 495-0102

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1023896818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LOVICK LN",
            "city": "PANTEGO",
            "state": "NC",
            "postal_code": "278609362",
            "telephone_number": "252-495-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 W 5TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894006",
            "telephone_number": "252-495-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.