Individual provider Active NPI

Spencer Godard, DC

  • Chiropractor
  • Lake Dallas, TX
National Provider Identifier
1285328773
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15488 Issued in TX
Practice address
211 Main St Ste 150
Lake Dallas, TX 75065-3729
Phone
(469) 251-0338
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15488 TX Primary

Addresses

Primary practice location

211 Main St Ste 150
Lake Dallas, TX 75065-3729

Mailing address

1816 Old Oak Dr
Arlington, TX 76012-5636
Phone (469) 251-0338

Other practice location 1

205 E Hill St
Spur, TX 79370-2435
Phone (469) 251-0338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010000245 TX Practitioner - Chiropractic 2062867138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Step Chiropractic Chiropractor CurrentSince Jun 26, 2023 Accepting new patients

Locations

3538 Lakeview Pkwy
#100
Rowlett, TX 75088
Phone (972) 412-4442

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1285328773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 OLD OAK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125636",
            "telephone_number": "469-251-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN ST STE 150",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653729",
            "telephone_number": "469-251-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Hill St",
            "address_purpose": "LOCATION",
            "city": "Spur",
            "state": "TX",
            "postal_code": "793702435",
            "country_code": "US",
            "telephone_number": "469-251-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODARD",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.