Organization Active NPI

Sperbeck Enterprises Inc.

  • Orthopedic Chiropractor
  • Fort Thomas, KY
National Provider Identifier
1619037728
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
SPERBECK ENTERPRISES INC.
Practice address
40 N Grand Ave Ste 200
Fort Thomas, KY 41075-1765
Phone
(859) 448-0900
Fax
(859) 448-0989
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Dr. Mark Jason Sperbeck, D.C., D.A.C.O.NPI 1275523318
Title
Owner
Phone
(859) 448-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X Primary

Addresses

Primary practice location

40 N Grand Ave Ste 200
Fort Thomas, KY 41075-1765

Mailing address

40 N Grand Ave Ste 200
Fort Thomas, KY 41075-1765
Phone (859) 448-0900

Other identifiers 3

IdentifierTypeStateIssuer
7100184370MedicaidKY
3137840MedicaidOH
DA9478OtherOHRAILROAD MEDICARE

Other names 1

  • Center for Chiropractic Orthopedics Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000072 KY Part B Supplier - Clinic/Group Practice 8224061338 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Thomas, KY

National Provider Directory

National Provider Directory

Locations

8333 Alexandria Pike
Alexandria, KY 41001
Phone (859) 694-4000

40 N Grand Ave
Ste 20
Fort Thomas, KY 41075

40 N Grand Ave
Ste 200
Fort Thomas, KY 41075
Phone (859) 448-0900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1619037728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE STE 200",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751765",
            "telephone_number": "859-448-0900",
            "fax_number": "859-448-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N GRAND AVE STE 200",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410751765",
            "telephone_number": "859-448-0900",
            "fax_number": "859-448-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERBECK ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "SPERBECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-448-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100184370",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3137840",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9478",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Chiropractic Orthopedics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Center for Chiropractic Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.