Active NPI
Spencer Wickey
- Chiropractor
- Sturgis, MI
National Provider Identifier
1104226455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010213
- Practice address
- 208 W Chicago Rd
Suite 9B
Sturgis, MI 49091-1779 - Phone
- (269) 651-6527
- NPI assigned
- Aug 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010213 | MI | Primary |
Addresses
Primary practice location
208 W Chicago Rd
Suite 9B
Sturgis, MI 49091-1779
Mailing address
508 N Electric CT
Sturgis, MI 49091-1858
Phone (269) 651-6527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301010213 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1104226455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N ELECTRIC CT",
"city": "STURGIS",
"state": "MI",
"postal_code": "490911858",
"telephone_number": "269-651-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W CHICAGO RD",
"address_2": "SUITE 9B",
"city": "STURGIS",
"state": "MI",
"postal_code": "490911779",
"telephone_number": "269-651-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKEY",
"first_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-23",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.