Individual provider Active NPI

Lorraine Spinard, DC

  • Chiropractor
  • Shohola, PA
National Provider Identifier
1558511477
Registry record updated Sep 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC01888L Issued in PA
Practice address
105 Chauncey Thomas Rd
Shohola, PA 18458-3825
Phone
(570) 559-7669
Fax
(570) 559-7666
NPI assigned
Sep 28, 2008
Last updated
Sep 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC01888L PA Primary

Addresses

Primary practice location

105 Chauncey Thomas Rd
Shohola, PA 18458-3825

Mailing address

105 Chauncey Thomas Rd
PO Box 67
Shohola, PA 18458-3825
Phone (570) 559-7669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110001103 PA Practitioner - Chiropractic 3375738826 Practice locations: Shohola, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 Chauncey Thomas Rd
Shohola, PA 18458-3825
Phone (570) 559-7669

P O Box
Suite 67
Shohola, PA 18458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC01888LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1222560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222560000000",
    "number": "1558511477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHAUNCEY THOMAS RD",
            "address_2": "PO BOX 67",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184583825",
            "telephone_number": "570-559-7669",
            "fax_number": "570-559-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHAUNCEY THOMAS RD",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184583825",
            "telephone_number": "570-559-7669",
            "fax_number": "570-559-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINARD",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-28",
        "last_updated": "2008-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC01888L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shohola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2008; 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.