Individual provider Active NPI

Dennis Spoonhour Jr., DC

  • Chiropractor
  • Weston, FL
National Provider Identifier
1225006166
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8366 Issued in FL
Practice address
2237 N Commerce Pkwy
Suite 2
Weston, FL 33326-3250
Phone
(954) 888-6650
Fax
(954) 888-6645
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8366 FL Primary

Addresses

Primary practice location

2237 N Commerce Pkwy
Suite 2
Weston, FL 33326-3250

Mailing address

2237 N Commerce Pkwy
Suite 2
Weston, FL 33326-3250
Phone (954) 888-6650

Other identifiers 1

IdentifierTypeStateIssuer
890548059OtherFLTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000495 FL Practitioner - Chiropractic 9537218193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weston Medical Health Center LLCGroup PAC ID 6709935364, 6 clinicians

Practice addresses (Care Compare)

2237 N Commerce Pkwy
Suite 2
Weston, FL 33326-3250
Phone (954) 888-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Medical Health Center, LLC Chiropractor CurrentSince Jan 1, 2009 Accepting new patients

Locations

2237 N Commerce Pkwy
Ste 2
Weston, FL 33326
Phone (954) 888-6650

Organizations & group practices 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1225006166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 N COMMERCE PKWY",
            "address_2": "SUITE 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263250",
            "telephone_number": "954-888-6650",
            "fax_number": "954-888-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 N COMMERCE PKWY",
            "address_2": "SUITE 2",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263250",
            "telephone_number": "954-888-6650",
            "fax_number": "954-888-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONHOUR",
        "first_name": "DENNIS",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "890548059",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.