Individual provider Active NPI

James M Spinos Jr., DC

  • Chiropractor
  • Ebensburg, PA
National Provider Identifier
1215912431
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC00S394L Issued in PA
Practice address
3135 New Germany Rd
Suite 33
Ebensburg, PA 15931-4347
Phone
(814) 419-8445
Fax
(814) 419-8439
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 DC00S394L PA Primary

Addresses

Primary practice location

3135 New Germany Rd
Suite 33
Ebensburg, PA 15931-4347

Mailing address

3135 New Germany Rd
Suite 33
Ebensburg, PA 15931-4347
Phone (814) 419-8445

Other identifiers 1

IdentifierTypeStateIssuer
00141033S0003MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000327 PA Practitioner - Chiropractic 4688848385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 N Ctr St
Ebensburg, PA 15931-1169
Phone (814) 419-8445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC00S394LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. R.J. Scanlan Chiropractic Clinic, P,C. Chiropractor CurrentSince Mar 20, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1000 N Center St
Ebensburg, PA 15931
Phone (814) 419-8445

Organizations & group practices 3

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1215912431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 NEW GERMANY RD",
            "address_2": "SUITE 33",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314347",
            "telephone_number": "814-419-8445",
            "fax_number": "814-419-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 NEW GERMANY RD",
            "address_2": "SUITE 33",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314347",
            "telephone_number": "814-419-8445",
            "fax_number": "814-419-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINOS",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC00S394L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141033S0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.