Active NPI
Joel Robert Spencer, DC
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1881243772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0800317A
- Practice address
- 4771 Trier Rd
Fort Wayne, IN 46815-4968 - Phone
- (260) 492-8300
- NPI assigned
- Sep 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 0800317A | IN | Primary |
Addresses
Primary practice location
4771 Trier Rd
Fort Wayne, IN 46815-4968
Mailing address
4771 Trier Rd
Fort Wayne, IN 46815-4968
Phone (260) 492-8300
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 |
|---|---|---|---|
| 0800317A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1881243772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4771 TRIER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154968",
"telephone_number": "260-492-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 TRIER RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468154968",
"telephone_number": "260-492-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JOEL",
"middle_name": "ROBERT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "0800317A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.