Mark Spina, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X3711 Issued in NY

Practice address

21 Mill St
Liberty, NY 12754-2010

Phone

(845) 292-8810

Fax

(845) 295-9156

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Spina Chiropractic Office PC

  • Chiropractor
  • Liberty, NY
  • NPI 1841343621
  Medicare reassignment NPD Authorized official
• Advanced Health & Medical,P.C.

  • Legal Medicine
  • Liberty, NY
  • NPI 1912050709
  NPD (past)
• Middletown Chiropractic PC

  • Rehabilitation Chiropractor
  • Middletown, NY
  • NPI 1811066566
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1326184136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542010",
            "telephone_number": "845-292-8810",
            "fax_number": "845-295-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542010",
            "telephone_number": "845-292-8810",
            "fax_number": "845-295-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Fern Snook-Barnes, LCSW
• Susan Southerton, RN
• Jacalyn D Space
• Judith W Spafford
• Spina Chiropractic Office PC
• Sara Wolfson Spoerri, RN
• Maureen Stabak
• Chelsie Marie Stauch
• Melissa Stickle, LCSW R
• Kelsey Stoddard, LMSW

• Chiropractor in Liberty, NY
• Providers in Liberty, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.