Organization Active NPI

Spencer Family Chiropractic, LLC

  • Chiropractor
  • Estes Park, CO
National Provider Identifier
1083762330
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6041 Issued in CO
Legal business name
SPENCER FAMILY CHIROPRACTIC, LLC
Practice address
351 Moraine Ave
Suite a
Estes Park, CO 80517-8044
Phone
(970) 577-0007
Fax
(970) 577-0370
NPI assigned
Jan 5, 2007
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Jill Marie Spencer, D.C.
Title
Chiropractor
Phone
(970) 577-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6041 CO Primary

Addresses

Primary practice location

351 Moraine Ave
Suite a
Estes Park, CO 80517-8044

Mailing address

351 Moraine Ave
Suite a
Estes Park, CO 80517-8044
Phone (970) 577-0007

Other names 1

  • Spencer Family Chiropractic, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1083762330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MORAINE AVE",
            "address_2": "SUITE A",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178044",
            "telephone_number": "970-577-0007",
            "fax_number": "970-577-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MORAINE AVE",
            "address_2": "SUITE A",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178044",
            "telephone_number": "970-577-0007",
            "fax_number": "970-577-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "970-577-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer Family Chiropractic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.