Grant Henry Spencer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6045 Issued in CO

Practice address

930 Big Thompson Ave
Estes Park, CO 80517-8905

Phone

(970) 646-6217

NPI assigned

Aug 28, 2006

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spencer Family Chiropractic, Inc

  • Chiropractor
  • Estes Park, CO
  • NPI 1821248436
  NPD (past)
• Spencer Family Chiropractic, LLC

  • Chiropractor
  • Estes Park, CO
  • NPI 1083762330
  NPD (past)
• Perugini Chiropractic SC

  • Chiropractor
  • Mukwonago, WI
  • NPI 1265639355
  NPD (past)
• Spencer-Smith Chiropractic SC

  • Chiropractor
  • Mukwonago, WI
  • NPI 1316144009
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1528176708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BIG THOMPSON AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178905",
            "telephone_number": "970-646-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BIG THOMPSON AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178905",
            "telephone_number": "970-646-6217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Moraine Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Estes Park",
            "state": "CO",
            "postal_code": "805178044",
            "country_code": "US",
            "telephone_number": "262-951-1468",
            "fax_number": "262-363-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "GRANT",
        "middle_name": "HENRY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CO6045",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4117012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38960400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sisson, PT
• Anne L Slack, PHYSICAL THERAPIST
• Jessica Ann Smith, PHARMD
• Spencer Family Chiropractic, Inc
• Spencer Family Chiropractic, LLC
• Robert S Stackhouse, RPH
• Christine Barbara Starcher, DPT
• Viktoriya Street
• Jane Howell-Sammis Stuart, MS OTR
• Rebecca A. Sugar, LCSW, LAC

• Chiropractor in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.