Individual provider Active NPI

David M Spitz

  • Chiropractor
  • Bristol, CT
National Provider Identifier
1336363464
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
348 Issued in CT
Practice address
22 Pine St
Suite 216
Bristol, CT 06010-6950
Phone
(860) 583-4346
Fax
(860) 583-0667
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 348 CT Primary

Addresses

Primary practice location

22 Pine St
Suite 216
Bristol, CT 06010-6950

Mailing address

22 Pine St
Suite 216
Bristol, CT 06010-6950
Phone (860) 583-4346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000006 CT Practitioner - Chiropractic 8628007333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348CTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health Center of Bristol Chiropractor CurrentSince Apr 29, 2002 Accepting new patients
Connecticut Advanced Spine LLC PastSince Oct 1, 2023 Accepting new patients

Locations

169 Middle St
Bristol, CT 06010
Phone (475) 337-7463

22 Pine St
Ste 216
Bristol, CT 06010
Phone (860) 583-4346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1336363464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE ST",
            "address_2": "SUITE 216",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106950",
            "telephone_number": "860-583-4346",
            "fax_number": "860-583-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE ST",
            "address_2": "SUITE 216",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106950",
            "telephone_number": "860-583-4346",
            "fax_number": "860-583-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZ",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.