Individual provider Active NPI

Dawn Alicia Spale, D.C.

  • Chiropractor
  • Brackenridge, PA
National Provider Identifier
1538435177
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010575 Issued in PA
Practice address
825 Freeport Rd
Brackenridge, PA 15014-1085
Phone
(724) 224-2224
Fax
(724) 226-3988
NPI assigned
Mar 28, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010575 PA Primary

Addresses

Primary practice location

825 Freeport Rd
Brackenridge, PA 15014-1085

Mailing address

825 Freeport Rd
Brackenridge, PA 15014-1085
Phone (724) 224-2224

Other practice location 1

837 Evans City Rd
Renfrew, PA 16053-9213
Phone (724) 789-9797

Other identifiers 1

IdentifierTypeStateIssuer
1032406300001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000836 PA Practitioner - Chiropractic 8426214073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
DZS ChiropracticGroup PAC ID 8426322777, 5 clinicians

Practice addresses (Care Compare)

1007 Freeport Rd
Natrona Heights, PA 15065-1024
Phone (724) 224-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DZS Chiropractic Chiropractor CurrentSince Mar 10, 2017 Accepting new patients
Stuart Joseph Surkosky Chiropractor Past Accepting new patients

Locations

125 Virginia Ave
Mount Washington, PA 15211
Phone (724) 224-2224

1007 Freeport Rd
Natrona Heights, PA 15065
Phone (724) 224-2224

612 S Pike Rd
Ste 105
Sarver, PA 16055
Phone (724) 295-3900

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538435177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FREEPORT RD",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141085",
            "telephone_number": "724-224-2224",
            "fax_number": "724-226-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FREEPORT RD",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141085",
            "telephone_number": "724-224-2224",
            "fax_number": "724-226-3988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 Evans City Rd",
            "address_purpose": "LOCATION",
            "city": "Renfrew",
            "state": "PA",
            "postal_code": "160539213",
            "country_code": "US",
            "telephone_number": "724-789-9797",
            "fax_number": "724-789-9910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPALE",
        "first_name": "DAWN",
        "middle_name": "ALICIA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032406300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brackenridge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.