Individual provider Active NPI

Danika Spake, COMS

  • Specialist
  • San Antonio, TX
National Provider Identifier
1871920389
Registry record updated Sep 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7016
Practice address
141 Harrigan CT
Apt. 3
San Antonio, TX 78209-6391
Phone
(915) 449-6627
NPI assigned
Sep 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 7016 Primary

Addresses

Primary practice location

141 Harrigan CT
Apt. 3
San Antonio, TX 78209-6391

Mailing address

141 Harrigan CT
Apt. 3
San Antonio, TX 78209-6391

Other identifiers 1

IdentifierTypeStateIssuer
7016OtherACVREP

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380326400000",
    "number": "1871920389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HARRIGAN CT",
            "address_2": "APT. 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HARRIGAN CT",
            "address_2": "APT. 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096391",
            "telephone_number": "915-449-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAKE",
        "first_name": "DANIKA",
        "credential": "COMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2013-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "7016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACVREP",
            "identifier": "7016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.