Individual provider Active NPI

Michaele Marie Sparaco, DC, DACNB

  • Neurology Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1508087636
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
9906 Issued in TX
Practice address
3510 Galley Rd
Colorado Springs, CO 80909-4312
Phone
(719) 380-0138
Fax
(719) 380-8055
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 9906 TX Primary

Addresses

Primary practice location

3510 Galley Rd
Colorado Springs, CO 80909-4312

Mailing address

3510 Galley Rd
Colorado Springs, CO 80909-4312
Phone (719) 380-0138

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9906TXMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1508087636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094312",
            "telephone_number": "719-380-0138",
            "fax_number": "719-380-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094312",
            "telephone_number": "719-380-0138",
            "fax_number": "719-380-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACO",
        "first_name": "MICHAELE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC, DACNB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "9906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.