Matthew R Spangler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011658 Issued in IL

Practice address

1701 E Empire St Ste 320
Bloomington, IL 61704-7900

Phone

(309) 533-7131

Fax

(630) 320-1478

NPI assigned

Apr 21, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Realhealth Advanced Care SCGroup PAC ID 5890016836, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Realhealth Advanced Care SC

  • Physical Medicine & Rehabilitation Physician
  • East Peoria, IL
  • NPI 1710371935
  Medicare reassignment Care Compare group
• Health From Within, SC

  • Chiropractor
  • Mokena, IL
  • NPI 1912977414
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1649597352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824",
            "fax_number": "630-468-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E EMPIRE ST STE 320",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047900",
            "telephone_number": "309-533-7131",
            "fax_number": "630-320-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sontag
• Matthew R Sooby
• Cristian Sosa-Enamorado, DMD
• Diana Jane Souder, P.T.
• Shawn Soule, LCPC
• Jack P Spaniol, MD
• Ashleigh L Sparks
• Speech & Learning Connections
• Jennifer M. Speirer, FNP-C
• Brooke Spencer

• Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.