Individual provider Active NPI

Shannon Leigh Spence, D.C.

  • Chiropractor
  • Norfolk, NE
National Provider Identifier
1770595100
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1161 Issued in NE
Practice address
1700 Market LN
Norfolk, NE 68701-7373
Phone
(402) 371-9366
Fax
(402) 371-7331
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100130000179 NE Practitioner - Chiropractic 4082757042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 N 29TH St
Norfolk, NE 68701-3266
Phone (402) 371-9366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spence Chiropractic PC Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

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

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1770595100",
    "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": {
        "last_name": "SPENCE",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2011; 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.