Individual provider Active NPI

Jodi Ann Spurback, D.C.

  • Chiropractor
  • Amherst, NY
National Provider Identifier
1518176833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010794 Issued in NY
Practice address
636 N French Rd
Suites 9 & 10
Amherst, NY 14228-1900
Phone
(716) 417-6887
Fax
(716) 688-2200
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 X010794 NY Primary

Addresses

Primary practice location

636 N French Rd
Suites 9 & 10
Amherst, NY 14228-1900

Mailing address

636 N French Rd
Suites 9 & 10
Amherst, NY 14228-1900
Phone (716) 417-6887

Other names 1

  • Dr. Jodi Ann Nasca Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001074 NY Practitioner - Chiropractic 0648268391 Practice locations: Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

636 N French Rd
Amherst, NY 14228-1900
Phone (716) 417-6887

636 N French Rd Suites 9 and
Suite 10
Amherst, NY 14228-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010794NYMDChiropractor
010794NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Spurback Family Chiropractic Chiropractor Current Accepting new patients
Todd E Plinke DC, PC Chiropractor Past Accepting new patients
Peter M Plinke D.C., P.C. Chiropractor Past Accepting new patients
Giannettino Chiropractic PC Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518176833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 N FRENCH RD",
            "address_2": "SUITES 9 & 10",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281900",
            "telephone_number": "716-417-6887",
            "fax_number": "716-688-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 N FRENCH RD",
            "address_2": "SUITES 9 & 10",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281900",
            "telephone_number": "716-417-6887",
            "fax_number": "716-688-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURBACK",
        "first_name": "JODI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "NASCA",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

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.