Individual provider Active NPI

Matthew David Spaur, D.C.

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1699127860
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009730 Issued in GA
Practice address
3091 Holcomb Bridge Rd Ste D1
Norcross, GA 30071-1392
Phone
(770) 447-9090
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009730 GA Primary

Addresses

Primary practice location

3091 Holcomb Bridge Rd Ste D1
Norcross, GA 30071-1392

Mailing address

3091 Holcomb Bridge Rd
Norcross, GA 30071-1335
Phone (770) 447-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170724002485 CO Practitioner - Chiropractic 2163792102 Reassigns benefits to 1 organization
I20260506000852 WV Practitioner - Chiropractic 2163792102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2016
Medicare assignment
May accept Medicare assignment
Group practices
New Era Health Co PLLCGroup PAC ID 8729457643, 2 clinicians
Thrive Health SystemsGroup PAC ID 3476724113, 5 clinicians

Practice addresses (Care Compare)

1500 Grand Central Ave
Suite 108
Vienna, WV 26105-1079
Phone (304) 893-9586

4209 Centennial Blvd
Colorado Springs, CO 80907-3770
Phone (719) 475-8676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009730GAMDChiropractor

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1699127860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711335",
            "telephone_number": "770-447-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 HOLCOMB BRIDGE RD STE D1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711392",
            "telephone_number": "770-447-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAUR",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.