Organization Active NPI

Spence Chiropractic Corp, Apc.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1295995637
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24225 Issued in CA
Legal business name
SPENCE CHIROPRACTIC CORP, APC.
Practice address
8555 Station Village LN
B
San Diego, CA 92108-6543
Phone
(706) 436-7999
Fax
(760) 436-3993
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Christopher Spence, D.C.NPI 1588689707
Title
President
Phone
(760) 436-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24225 CA Primary

Addresses

Primary practice location

8555 Station Village LN
B
San Diego, CA 92108-6543

Mailing address

8555 Station Village LN
B
San Diego, CA 92108-6543
Phone (706) 436-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090105000312 CA Part B Supplier - Clinic/Group Practice 7517029309 Receives reassigned benefits from 3 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

8555 Station Village Ln
Ste B
San Diego, CA 92108
Phone (619) 284-3883

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1295995637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN",
            "address_2": "B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086543",
            "telephone_number": "706-436-7999",
            "fax_number": "760-436-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN",
            "address_2": "B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086543",
            "telephone_number": "706-436-7999",
            "fax_number": "760-436-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCE CHIROPRACTIC CORP, APC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-436-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.