Active NPI
John Rexford Spence, D.C.
- Chiropractor
- Clifton Park, NY
National Provider Identifier
1407052152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0058821
- Practice address
- 1 Barney Rd
Ste. 108
Clifton Park, NY 12065-5843 - Phone
- (518) 348-1935
- Fax
- (518) 348-1936
- NPI assigned
- Jun 21, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0058821 | NY | Primary |
Addresses
Primary practice location
1 Barney Rd
Ste. 108
Clifton Park, NY 12065-5843
Mailing address
1 Barney Rd
Ste. 108
Clifton Park, NY 12065-5843
Phone (518) 348-1935
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C058828-8 | Other | NY | NYS WORKERS' COMPENSATION |
| 10018818 | Other | NY | CDPHP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0058821 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1407052152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BARNEY RD",
"address_2": "STE. 108",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655843",
"telephone_number": "518-348-1935",
"fax_number": "518-348-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNEY RD",
"address_2": "STE. 108",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655843",
"telephone_number": "518-348-1935",
"fax_number": "518-348-1936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "JOHN",
"middle_name": "REXFORD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0058821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS WORKERS' COMPENSATION",
"identifier": "C058828-8",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10018818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
- Sparano Chiropractic Associates
- Alicia Michele Sparano, D.C.
- Christopher Francis Sparano, D.C.
- Specific Chiropractic
- Specific Chiropractic, P.C.
- Maureen Murphy Spence, RD
- Naomi Ruth Spivey
- Karen A Sroczynski, PTA
- St. Peter'S Health Partners Medical Assocaites, P.C.
- St. Peter'S Health Partners Medical Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.