Active NPI
Michael Anthony Spagnolo, D.C.
- Chiropractor
- Glen Allen, VA
National Provider Identifier
1942209556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001916
- Practice address
- 11535 Nuckols Rd
Ste. D
Glen Allen, VA 23059-5671 - Phone
- (804) 747-5464
- Fax
- (804) 747-5483
- NPI assigned
- Jul 15, 2005
- 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 | 0104001916 | VA | Primary |
Addresses
Primary practice location
11535 Nuckols Rd
Ste. D
Glen Allen, VA 23059-5671
Mailing address
11535 Nuckols Rd
Ste. D
Glen Allen, VA 23059-5671
Phone (804) 747-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11535 Nuckols Rd
Suite D
Glen Allen, VA 23059-5671
Phone (804) 747-5464
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001916 | VA | MD | Chiropractor |
| 5375 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Allen Chiropractic & Acupuncture Center PC | Chiropractor | Current | Accepting new patients |
Locations
11535 Nuckols Rd
Ste D
Glen Allen, VA 23059
Phone (804) 747-5464
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.
-
- Chiropractor
- Glen Allen, VA
- NPI 1306907399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942209556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11535 NUCKOLS RD",
"address_2": "STE. D",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595671",
"telephone_number": "804-747-5464",
"fax_number": "804-747-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11535 NUCKOLS RD",
"address_2": "STE. D",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595671",
"telephone_number": "804-747-5464",
"fax_number": "804-747-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAGNOLO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.