Individual provider Active NPI

Spencer Ryann Burling, DC

  • Chiropractor
  • Springfield, MA
National Provider Identifier
1336257807
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2798 Issued in MA
Practice address
1003 Saint James Ave Unit 2
Springfield, MA 01104-2145
Phone
(413) 455-3625
Fax
(413) 317-7488
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2798 MA Primary

Addresses

Primary practice location

1003 Saint James Ave Unit 2
Springfield, MA 01104-2145

Mailing address

1003 St.James Ave, Unit 2
Springfield, MA 01104
Phone (413) 455-3625

Other practice location 1

245 Russell St Ste 13
Hadley, MA 01035-9563
Phone (413) 586-1588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000362 MA Practitioner - Chiropractic 2264483189 Reassigns benefits to 1 organization
Practice locations: Springfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

69 Jackson St
Holyoke, MA 01040-3709
Phone (413) 455-3625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1336257807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 ST.JAMES AVE, UNIT 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-455-3625",
            "fax_number": "413-317-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SAINT JAMES AVE UNIT 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042145",
            "telephone_number": "413-455-3625",
            "fax_number": "413-317-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Russell St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Hadley",
            "state": "MA",
            "postal_code": "010359563",
            "country_code": "US",
            "telephone_number": "413-586-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLING",
        "first_name": "SPENCER",
        "middle_name": "RYANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.