Active NPI
Joshua Blue Spears, DC
- Chiropractor
- Edmond, OK
National Provider Identifier
1265529689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3616
- Practice address
- 1512 S Boulevard St
Edmond, OK 73013-5140 - Phone
- (405) 844-8888
- Fax
- (405) 330-1529
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3616 | OK | Primary |
Addresses
Primary practice location
1512 S Boulevard St
Edmond, OK 73013-5140
Mailing address
1512 S Boulevard St
Edmond, OK 73013-5140
Phone (405) 844-8888
Other practice location 1
8104 N May Ave Ste 100
Oklahoma City, OK 73120-4545
Phone (405) 844-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060208000065 | OK | Practitioner - Chiropractic | 0749295053 | Practice locations: Edmond, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1512 S Boulevard
Edmond, OK 73013-5140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1265529689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 S BOULEVARD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135140",
"telephone_number": "405-844-8888",
"fax_number": "405-330-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 S BOULEVARD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135140",
"telephone_number": "405-844-8888",
"fax_number": "405-330-1529"
}
],
"practiceLocations": [
{
"address_1": "8104 N May Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731204545",
"country_code": "US",
"telephone_number": "405-844-8888",
"fax_number": "405-330-1529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPEARS",
"first_name": "JOSHUA",
"middle_name": "BLUE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2021-05-13",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "3616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.