Individual provider Active NPI

James Addison Spennetta, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1477612000
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2813 Issued in WI
Practice address
6810 Watts Rd
Madison, WI 53719-1393
Phone
(608) 273-2225
Fax
(608) 273-1684
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2813 WI Primary

Addresses

Primary practice location

6810 Watts Rd
Madison, WI 53719-1393

Mailing address

6810 Watts Rd
Madison, WI 53719-1393
Phone (608) 273-2225

Other identifiers 1

IdentifierTypeStateIssuer
38862500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000049 WI Practitioner - Chiropractic 9931126729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6810 Watts Rd
Madison, WI 53719-1429
Phone (608) 273-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spennetta Family Care Chiropractic, S.C. Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

6810 Watts Rd
Madison, WI 53719
Phone (608) 273-2225

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477612000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 WATTS RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191393",
            "telephone_number": "608-273-2225",
            "fax_number": "608-273-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 WATTS RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191393",
            "telephone_number": "608-273-2225",
            "fax_number": "608-273-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENNETTA",
        "first_name": "JAMES",
        "middle_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38862500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.