Spina Chiropractic Office PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X3711 Issued in NY

Legal business name

SPINA CHIROPRACTIC OFFICE PC

Practice address

21 Mill St
Liberty, NY 12754-2010

Phone

(845) 292-2225

Fax

(845) 292-8832

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Mark A Spina, D.C.NPI 1326184136

Title

President

Phone

(845) 292-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Spina, D.C.

  • Chiropractor
  • Liberty, NY
  • NPI 1326184136
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841343621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542010",
            "telephone_number": "845-292-2225",
            "fax_number": "845-292-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILL ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542010",
            "telephone_number": "845-292-2225",
            "fax_number": "845-292-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINA CHIROPRACTIC OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-2225",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Sneckenberg, LMHC
• Amanda Fern Snook-Barnes, LCSW
• Susan Southerton, RN
• Jacalyn D Space
• Judith W Spafford
• Mark Spina, D.C.
• Sara Wolfson Spoerri, RN
• Maureen Stabak
• Chelsie Marie Stauch
• Melissa Stickle, LCSW R

• Chiropractor in Liberty, NY
• Providers in Liberty, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.