Individual provider Active NPI

Spencer Ryan Gunn, DC

  • Chiropractor
  • Guilford, CT
National Provider Identifier
1508356486
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2147 Issued in CT
Practice address
705 Boston Post Rd Ste C7
Guilford, CT 06437-2732
Phone
(203) 533-1130
Fax
(203) 533-7970
NPI assigned
May 16, 2018
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2147 CT Primary
Chiropractor 111N00000X 4940 NC

Addresses

Primary practice location

705 Boston Post Rd Ste C7
Guilford, CT 06437-2732

Mailing address

705 Boston Post Rd Ste C7
Guilford, CT 06437-2732
Phone (203) 533-1130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000881 CT Practitioner - Chiropractic 3476808148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 Boston Post Rd
Suite C7
Guilford, CT 06437-2732
Phone (203) 533-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4940NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Balance Chiropractic and Family Wellness PLLC Chiropractor CurrentSince Aug 5, 2025 Accepting new patients
Strong Women's Health LLC CurrentSince Mar 21, 2021 Accepting new patients
Well Within Chiropractic PLLC Chiropractor CurrentSince May 16, 2018 Accepting new patients

Locations

705 Boston Post Rd
Ste C7
Guilford, CT 06437
Phone (203) 453-1859

265 Racine Dr
#100
Wilmington, NC 28403
Phone (910) 515-4525

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8076/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1508356486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE C7",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-533-1130",
            "fax_number": "203-533-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE C7",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372732",
            "telephone_number": "203-533-1130",
            "fax_number": "203-533-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "SPENCER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2147",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.