Active NPI
Andrew C. Spracklin P.C.
- Chiropractor
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1714
- Legal business name
- ANDREW C. SPRACKLIN P.C.
- Practice address
- 2119 Central Ave
Kearney, NE 68847-5303 - Phone
- (308) 455-1515
- Fax
- (308) 455-1516
- NPI assigned
- May 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Spracklin
- Title
- President
- Phone
- (402) 677-3783
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1714 | NE | Primary |
Addresses
Primary practice location
2119 Central Ave
Kearney, NE 68847-5303
Mailing address
2119 Central Ave
Kearney, NE 68847-5303
Phone (308) 455-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120522000876 | NE | Part B Supplier - Clinic/Group Practice | 5698938041 |
Receives reassigned benefits from 1 practitioner Practice locations: Minden, NE |
National Provider Directory
National Provider DirectoryLocations
2119 Central Ave
Kearney, NE 68847
Phone (308) 455-1515
9 W 23rd St
Kearney, NE 68847
Phone (308) 455-1515
333 N Minden Ave
Minden, NE 68959
Phone (308) 455-1515
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kearney, NE
- NPI 1487912358
-
- Chiropractor
- Minden, NE
- NPI 1629150909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1629337175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688475303",
"telephone_number": "308-455-1515",
"fax_number": "308-455-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 CENTRAL AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688475303",
"telephone_number": "308-455-1515",
"fax_number": "308-455-1516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW C. SPRACKLIN P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-03",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "SPRACKLIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-677-3783"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NE",
"license": "1714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.