Active NPI
Mark Spradley, D.C.
- Chiropractor
- South Daytona, FL
National Provider Identifier
1801815485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3927
- Practice address
- 345 Beville Rd
Suite 106
South Daytona, FL 32119-2165 - Phone
- (386) 304-4499
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 | CH3927 | FL | Primary |
Addresses
Primary practice location
345 Beville Rd
Suite 106
South Daytona, FL 32119-2165
Mailing address
PO Box 214267
South Daytona, FL 32121-4267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3927 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801815485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214267",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321214267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 BEVILLE RD",
"address_2": "SUITE 106",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321192165",
"telephone_number": "386-304-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRADLEY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH3927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.