Organization Active NPI

Spence Chiropractic PC

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1730413055
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1161 Issued in NE
Legal business name
SPENCE CHIROPRACTIC PC
Doing business as
Spence Chiropractic
Practice address
1700 Market LN
Norfolk, NE 68701-7373
Phone
(402) 371-9366
Fax
(402) 371-7331
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Mr. Shannon Leigh Spence, D.C.NPI 1770595100
Title
President
Phone
(402) 371-9366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1161 NE Primary

Addresses

Primary practice location

1700 Market LN
Norfolk, NE 68701-7373

Mailing address

1700 Market LN
Norfolk, NE 68701-7373
Phone (402) 371-9366

Other names 1

  • Spence Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100130000190 NE Part B Supplier - Clinic/Group Practice 5890838858 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

107 N 29th St
Norfolk, NE 68701
Phone (402) 371-9366

1700 Market Ln
Ste 61
Norfolk, NE 68701
Phone (402) 371-9366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1730413055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARKET LN",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687017373",
            "telephone_number": "402-371-9366",
            "fax_number": "402-371-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET LN",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687017373",
            "telephone_number": "402-371-9366",
            "fax_number": "402-371-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-371-9366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spence Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.