Individual provider Active NPI

Andrew Spracklin

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1487912358
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1714 Issued in NE
Practice address
2119 Central Ave
Kearney, NE 68847-5303
Phone
(308) 455-1515
Fax
(308) 455-1516
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1714 NE Primary

Addresses

Primary practice location

2119 Central Ave
Kearney, NE 68847-5303

Mailing address

333 N Minden Ave
Minden, NE 68959-1657
Phone (308) 832-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120522000915 NE Practitioner - Chiropractic 6507029956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 N Minden Ave
Minden, NE 68959-1657
Phone (308) 832-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1714NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew C. Spracklin P.C. Chiropractor CurrentSince May 3, 2012 Accepting new patients

Locations

2119 Central Ave
Kearney, NE 68847
Phone (308) 455-1515

9 W 23rd St
Kearney, NE 68847
Phone (308) 455-1515

333 N Minden Ave
Minden, NE 68959
Phone (308) 455-1515

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1487912358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591657",
            "telephone_number": "308-832-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475303",
            "telephone_number": "308-455-1515",
            "fax_number": "308-455-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRACKLIN",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.