Active NPI
Chad Michael Spillers, D.C.
- Chiropractor
- Cloquet, MN
National Provider Identifier
1720164049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC3901
- Practice address
- 2511 Washington Ave
Cloquet, MN 55720-2845 - Phone
- (218) 879-5831
- Fax
- (218) 879-0517
- NPI assigned
- Oct 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC3901 | MN | Primary |
Addresses
Primary practice location
2511 Washington Ave
Cloquet, MN 55720-2845
Mailing address
2511 Washington Ave
Cloquet, MN 55720-2845
Phone (218) 879-5831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8279659-00 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2511 Washington Ave
Cloquet, MN 55720-2845
Phone (218) 879-5831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3901 | MN | MD | Marriage & Family Therapist |
| DC3901 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspenridge Chiropractic Center P.a. | Chiropractor | Current | Accepting new patients |
Locations
2511 Washington Ave
Cloquet, MN 55720
Phone (218) 879-5831
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": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720164049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 WASHINGTON AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202845",
"telephone_number": "218-879-5831",
"fax_number": "218-879-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 WASHINGTON AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202845",
"telephone_number": "218-879-5831",
"fax_number": "218-879-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLERS",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC3901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8279659-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.