Individual provider Active NPI

John Richard Spencer, D.C.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1225113822
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4611 Issued in TX
Practice address
3405 S Western St
Suite 104
Amarillo, TX 79109-4437
Phone
(806) 353-2260
Fax
(806) 353-2268
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4611 TX Primary

Addresses

Primary practice location

3405 S Western St
Suite 104
Amarillo, TX 79109-4437

Mailing address

3405 S Western St
Suite 104
Amarillo, TX 79109-4437
Phone (806) 353-2260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000793 TX Practitioner - Chiropractic 2567352206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parker UniversityGroup PAC ID 7810945466, 18 clinicians

Practice addresses (Care Compare)

2600 Electronic LN
Dallas, TX 75220-1216
Phone (972) 438-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4611TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parker University Chiropractor CurrentSince Dec 20, 2019 Accepting new patients
John R Spencer Dcpa Chiropractor PastSince Mar 31, 2008 Accepting new patients

Locations

2600 Electronic Ln
Dallas, TX 75220
Phone (972) 438-6932

2540 Walnut Hill Ln
Dallas, TX 75229
Phone (214) 902-3447

111 S Delaware St
Irving, TX 75060
Phone (214) 438-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23964/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1225113822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 S WESTERN ST",
            "address_2": "SUITE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094437",
            "telephone_number": "806-353-2260",
            "fax_number": "806-353-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S WESTERN ST",
            "address_2": "SUITE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791094437",
            "telephone_number": "806-353-2260",
            "fax_number": "806-353-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.