Individual provider Active NPI

Christine Marie Spadafora, D.C.

  • Chiropractor
  • Feasterville Trevose, PA
National Provider Identifier
1720150295
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004566L Issued in PA
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

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001454008MedicaidPA

Other names 1

  • Dr. Christine Marie EMS Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514000276 PA Practitioner - Chiropractic 0042433369 Practice locations: Warminster, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004566LPAMDChiropractor

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.

Verify at the official NPI Registry.