Active NPI
Alec Spencer, D.C.
- Chiropractor
- Fayetteville, AR
National Provider Identifier
1356887764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5213-12
- Practice address
- 1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263 - Phone
- (479) 435-6834
- NPI assigned
- Jan 9, 2017
- Last updated
- May 17, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5213-12 | WI | Primary |
Addresses
Primary practice location
1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263
Mailing address
3980 W Wedington Dr
Ste 14
Fayetteville, AR 72704-5791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191121000247 | AR | Practitioner - Chiropractic | 9638436892 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kmgo Enterprises PLLC | Chiropractor | Current | Accepting new patients |
| 114 N Pittman LLC | Chiropractor | Current | Accepting new patients |
Locations
1271 N Steamboat Dr
Ste 1
Fayetteville, AR 72704
Phone (479) 435-6834
Organizations & group practices 3
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.
-
dba The Wellness Center Chiropractic
- Chiropractor
- Fayetteville, AR
- NPI 1023828266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1356887764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 W WEDINGTON DR",
"address_2": "STE 14",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1271 N STEAMBOAT DR STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046263",
"telephone_number": "479-435-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ALEC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-09",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5213-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.