Active NPI
Spencer Surmont, DC
- Pediatric Chiropractor
- Greenacres, FL
National Provider Identifier
1336830934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 038.013614
- Practice address
- 6426 Lake Worth Rd
Greenacres, FL 33463-3008 - Phone
- (586) 872-4870
- NPI assigned
- May 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 038.013614 | IL | Primary |
Addresses
Primary practice location
6426 Lake Worth Rd
Greenacres, FL 33463-3008
Mailing address
6426 Lake Worth Rd
Greenacres, FL 33463-3008
Phone (586) 872-4870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013614 | IL | MD | Pediatric Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1336830934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6426 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633008",
"telephone_number": "586-872-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6426 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633008",
"telephone_number": "586-872-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURMONT",
"first_name": "SPENCER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "IL",
"license": "038.013614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.