Sperbeck Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25026 Issued in CA

Legal business name

SPERBECK CHIROPRACTIC CORPORATION

Doing business as

Advanced Chiropractic

Practice address

1770 N Tracy Blvd Ste B
Tracy, CA 95376-2428

Phone

(209) 836-5558

Fax

(209) 836-5355

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles William Sperbeck, D.C.NPI 1700967007

Title

President

Phone

(209) 836-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Charles William Sperbeck, D.C.

  • Rehabilitation Chiropractor
  • Tracy, CA
  • NPI 1700967007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1689838377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N TRACY BLVD STE B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762428",
            "telephone_number": "209-836-5558",
            "fax_number": "209-836-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N TRACY BLVD STE B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762428",
            "telephone_number": "209-836-5558",
            "fax_number": "209-836-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPERBECK CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "SPERBECK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-836-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CHIROPRACTOR IDENTIFICATION NUMBER FOR CHARLES SPERBECK D.C.",
            "identifier": "DC0250260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Tracy, CA
• Providers in Tracy, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.