Individual provider Active NPI

Steven Andrew Sprague, DC

  • Chiropractor
  • San Carlos, CA
National Provider Identifier
1871773663
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-30648 Issued in CA
Practice address
790 Laurel St
Ste 15
San Carlos, CA 94070-3165
Phone
(415) 378-8343
NPI assigned
Nov 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-30648 CA Primary

Addresses

Primary practice location

790 Laurel St
Ste 15
San Carlos, CA 94070-3165

Mailing address

790 Laurel St
Ste 15
San Carlos, CA 94070-3165
Phone (415) 378-8343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000739 CA Practitioner - Chiropractic 2365510781 Practice locations: San Carlos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

790 Laurel St
Suite 15
San Carlos, CA 94070-3165
Phone (415) 378-8343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-30648CAMDChiropractor
30648CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Chiropractic, Sprague & Chiu Chiropractor CurrentSince Apr 1, 2008 Accepting new patients
Redwood Shores Chiropractic Chiropractor PastSince Jan 11, 2012 Accepting new patients
Dr Arlan W Young DC Chiropractic Corp Chiropractor Past Accepting new patients

Locations

1200 Brittan Ave
San Carlos, CA 94070
Phone (650) 591-1002

Organizations & group practices 3

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1871773663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LAUREL ST",
            "address_2": "STE 15",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703165",
            "telephone_number": "415-378-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LAUREL ST",
            "address_2": "STE 15",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703165",
            "telephone_number": "415-378-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "STEVEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-30648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.