Individual provider Active NPI

Joshua Blue Spears, DC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1265529689
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3616 Issued in OK
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

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.