Active NPI
Christine Marie Spadafora, D.C.
- Chiropractor
- Feasterville Trevose, PA
National Provider Identifier
1720150295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004566L
- Practice address
- 1040 Millcreek Dr
Feasterville Trevose, PA 19053-7321 - Phone
- (267) 684-6123
- Fax
- (267) 684-6417
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004566L | PA | Primary |
Addresses
Primary practice location
1040 Millcreek Dr
Feasterville Trevose, PA 19053-7321
Mailing address
1040 Millcreek Dr
Feasterville Trevose, PA 19053-7321
Phone (267) 684-6123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001454008 | Medicaid | PA |
Other names 1
- Dr. Christine Marie EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140514000276 | PA | Practitioner - Chiropractic | 0042433369 | Practice locations: Warminster, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004566L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1720150295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 MILLCREEK DR",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537321",
"telephone_number": "267-684-6123",
"fax_number": "267-684-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 MILLCREEK DR",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537321",
"telephone_number": "267-684-6123",
"fax_number": "267-684-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADAFORA",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004566L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001454008",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "EMS",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.