Organization Active NPI

Spencer Family Chiropractic, PLLC

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1366148496
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPENCER FAMILY CHIROPRACTIC, PLLC
Practice address
2600 E Southern Ave Ste K
Tempe, AZ 85282-7743
Phone
(480) 904-2583
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. Kiana A Spencer, D.C.NPI 1164136438
Title
Chiropractor
Phone
(480) 915-5855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2600 E Southern Ave Ste K
Tempe, AZ 85282-7743

Mailing address

2600 E Southern Ave Ste K
Tempe, AZ 85282-7743
Phone (480) 904-2583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412000596 AZ Part B Supplier - Clinic/Group Practice 2961876503 Receives reassigned benefits from 2 practitioners
Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory

Locations

2600 E Southern Ave
Ste K
Tempe, AZ 85282
Phone (480) 456-6561

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1366148496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE K",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827743",
            "telephone_number": "480-904-2583",
            "fax_number": "480-916-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE K",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827743",
            "telephone_number": "480-904-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "KIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "480-915-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.