Active NPI
Jolene Cecelia Spina, DC
- Chiropractor
- Davidson, NC
National Provider Identifier
1487769568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2962
- Practice address
- 428-D S. Main St
Davidson, NC 28036 - Phone
- (704) 655-0700
- Fax
- (704) 655-0701
- NPI assigned
- Aug 20, 2006
- Last updated
- Dec 1, 2016
- Sex
- Female
- 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 | 2962 | NC | Primary |
Addresses
Primary practice location
428-D S. Main St
Davidson, NC 28036
Mailing address
460S Main St 302
PO Box 2484
Davidson, NC 28036-8006
Phone (704) 655-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89085EX | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 2484
Davidson, NC 28036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davidson Health Assoc PA | Chiropractor | Current | Accepting new patients |
| Derrick W. Denman D.C. P.a. | Chiropractor | Past | Accepting new patients |
| Lincoln Chiropractic, PC | Chiropractor | Past | Accepting new patients |
Locations
460 S Main St
Ste 302
Davidson, NC 28036
Phone (704) 255-6383
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.
-
- Chiropractor
- Lincolnton, NC
- NPI 1629762646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1487769568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460S MAIN ST 302",
"address_2": "PO BOX 2484",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368006",
"telephone_number": "704-655-0700",
"fax_number": "704-626-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428-D S. MAIN ST",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "28036",
"telephone_number": "704-655-0700",
"fax_number": "704-655-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "JOLENE",
"middle_name": "CECELIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085EX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davidson, NC
- Southeast Stone Center
- Southlake Center for Self Discovery
- Southlake Counseling & Consulting
- Southlake Psychiatry PC
- Emmanuel Adjei Sowah, NP-C
- Alexis McKenna Sprankle, PA-C
- Springhealth Behavioral Health and Integrated Care North Carolina, LLC
- Fallon Stapleton, LCSW
- William David Staton, PH.D.
- Jessica Stoiber, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.