Individual provider Active NPI

Michael Andrew Speesler

  • Chiropractor
  • Jenkintown, PA
National Provider Identifier
1174721203
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009880 Issued in PA
Practice address
101 Old York Rd
Suite 200
Jenkintown, PA 19046-3912
Phone
(215) 877-5400
Fax
(215) 877-5401
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70011505 NY
Chiropractor 111N00000X DC009880 PA Primary

Addresses

Primary practice location

101 Old York Rd
Suite 200
Jenkintown, PA 19046-3912

Mailing address

46 Strathmore Dr
Cherry Hill, NJ 08003-1722
Phone (315) 406-4720

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

LicenseStateTypeSpecialty
70011505NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1174721203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STRATHMORE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031722",
            "telephone_number": "315-406-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD YORK RD",
            "address_2": "SUITE 200",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463912",
            "telephone_number": "215-877-5400",
            "fax_number": "215-877-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEESLER",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70011505",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.