Individual provider Active NPI

Nathan A Spencer, D.C.

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1194121533
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 32943 Issued in CA
Practice address
2150 Scenic Dr
Modesto, CA 95355-4402
Phone
(209) 527-8560
Fax
(209) 527-0837
NPI assigned
Nov 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 32943 CA Primary

Addresses

Primary practice location

2150 Scenic Dr
Modesto, CA 95355-4402

Mailing address

2150 Scenic Dr
Modesto, CA 95355-4402
Phone (209) 527-8560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529000036 CA Practitioner - Chiropractic 5395065528 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32943CAMDMarriage & Family Therapist
DC 32943CAMDChiropractor

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Nov 4, 2017 Accepting new patients
Omni Family Health CurrentSince Nov 4, 2017 Accepting new patients
Omni Family Health Current Accepting new patients
Brian Herline Chiropractic Inc Chiropractor CurrentSince Apr 4, 2015 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Jon Baker Chiropractic Corp Chiropractor Past Accepting new patients
Omni Family Health Past Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2150 Scenic Dr
Modesto, CA 95355
Phone (209) 527-8560

1133 Chelsea St
Ridgecrest, CA 93555
Phone (661) 459-1956

161 N Mill St
Tehachapi, CA 93561
Phone 66177255005530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nathn.spencer.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 8

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1194121533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554402",
            "telephone_number": "209-527-8560",
            "fax_number": "209-527-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554402",
            "telephone_number": "209-527-8560",
            "fax_number": "209-527-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NATHAN",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 32943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.