Spencer Andersen PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5110666-1202 Issued in UT

Legal business name

SPENCER ANDERSEN PC

Practice address

676 S Bluff St
St George, UT 84770-3596

Phone

(435) 674-7515

Fax

(435) 674-7565

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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. J Spencer Andersen, DCNPI 1497769053

Title

Owner

Phone

(435) 674-7515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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.

• J Spencer Andersen, DC

  • Chiropractor
  • St George, UT
  • NPI 1497769053
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Underwood, DC

  • Chiropractor
  • St George, UT
  • NPI 1174994362
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194943951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847650503",
            "telephone_number": "435-674-7515",
            "fax_number": "435-674-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703596",
            "telephone_number": "435-674-7515",
            "fax_number": "435-674-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER ANDERSEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-674-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5110666-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Spaulding, CMHC
• James Jared Speakman, MD
• Candace McCall Spears
• Eliza Rose Spears, CPM, LM, LDEM
• Brianna Speck
• Brendeen Allred Spencer, LCSW
• Kenley Spencer
• Marianne Spencer
• Matthew Spencer, DC
• McKayla Spencer

• Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.