Spencer William Wade, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8449495-1202 Issued in UT

Practice address

565 W 465 N
Suite 140
Providence, UT 84332-4801

Phone

(433) 213-9645

Fax

(435) 213-9631

NPI assigned

Dec 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrity Chiropractic

  • Chiropractor
  • Providence, UT
  • NPI 1326487687
  Medicare reassignment NPD Authorized official
• Collins Chiropractic, PC

  • Chiropractor
  • Burien, WA
  • NPI 1720205446
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1902108483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 465 N",
            "address_2": "SUITE 140",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324801",
            "telephone_number": "433-213-9645",
            "fax_number": "435-213-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 465 N",
            "address_2": "SUITE 140",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843324801",
            "telephone_number": "433-213-9645",
            "fax_number": "435-213-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SPENCER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "8449495-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE DEPARTMENT OF COMMERCE",
            "identifier": "8449495-1202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ty B. Aller, LMFT, PLLC
• Brenda Vazquez
• Brian A Vernon, MD
• Yohanna Sachiko Vernon, M.D.
• Kurt Gordon Vest, DMD
• Abigail Waite, RBT
• Aurie Lyn Walker
• Troy R Walton, D.D.S.
• Kade Ward, DPT
• Wasatch Anesthesia LLC

• Chiropractor in Providence, UT
• Providers in Providence, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.