Spencer Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2644 Issued in TX

Legal business name

SPENCER CHIROPRACTIC INC

Practice address

108 W Pasadena Blvd
Deer Park, TX 77536-4870

Phone

(281) 476-0700

Fax

(281) 479-0473

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Harrell Floyd, DCNPI 1083773501

Title

President

Phone

(281) 476-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ronald Harrell Floyd, D.C.

  • Chiropractor
  • Deer Park, TX
  • NPI 1083773501
  NPD (past) Authorized official

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1104001825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1021",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775361021",
            "telephone_number": "281-476-0700",
            "fax_number": "281-479-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W PASADENA BLVD",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364870",
            "telephone_number": "281-476-0700",
            "fax_number": "281-479-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "HARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-476-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8AA460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Deer Park, TX
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• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.