Individual provider Active NPI

Charles William Sperbeck, D.C.

  • Rehabilitation Chiropractor
  • Tracy, CA
National Provider Identifier
1700967007
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC25026 Issued in CA
Practice address
1770 N Tracy Blvd Ste B
Tracy, CA 95376-2428
Phone
(209) 836-5558
Fax
(209) 836-5355
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC25026 CA Primary

Addresses

Primary practice location

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

Mailing address

1770 N Tracy Blvd Ste B
Tracy, CA 95376-2428
Phone (209) 836-5558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000594 CA Practitioner - Chiropractic 7719046366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1770 N Tracy Blvd
Suite B
Tracy, CA 95376-2428
Phone (209) 836-5558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25026CAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sperbeck Chiropractic Corporation CurrentSince Jun 28, 2008 Accepting new patients

Locations

1770 N Tracy Blvd
Ste B
Tracy, CA 95376
Phone (209) 836-5558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1700967007",
    "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": {
        "last_name": "SPERBECK",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC25026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.