Individual provider Active NPI

Spencer Wichert, DC

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1922803766
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003494A Issued in IN
Practice address
520 N State Road 135 Ste R
Greenwood, IN 46142-1321
Phone
(317) 893-2853
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003494A IN Primary

Addresses

Primary practice location

520 N State Road 135 Ste R
Greenwood, IN 46142-1321

Mailing address

1544 Mint Rd
Greenwood, IN 46143-0024
Phone (913) 205-3357

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527003033 IN Practitioner - Chiropractic 4880115039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwood Family Chiropractic LLCGroup PAC ID 0244406288, 4 clinicians

Practice addresses (Care Compare)

520 N State Rd
135 Suite R
Greenwood, IN 46142-1321
Phone (317) 893-2853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Family Chiropractic, LLC Chiropractor CurrentSince May 11, 2025 Accepting new patients

Locations

520 N State Road 135
Ste R
Greenwood, IN 46142
Phone (317) 893-2853

Organizations & group practices 1

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1922803766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 MINT RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461430024",
            "telephone_number": "913-205-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N STATE ROAD 135 STE R",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421321",
            "telephone_number": "317-893-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHERT",
        "first_name": "SPENCER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003494A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.