Kemp Douglas Spencer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9218 Issued in AZ

Practice address

2600 E Southern Ave Ste K
Tempe, AZ 85282-7743

Phone

(480) 904-2583

NPI assigned

Jan 10, 2023

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Spencer Family Chiropractic PLLCGroup PAC ID 2961876503, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spencer Family Chiropractic, PLLC

  • Chiropractor
  • Tempe, AZ
  • NPI 1366148496
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1962116236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 N HORNE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032524",
            "telephone_number": "480-248-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE K",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827743",
            "telephone_number": "480-904-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KEMP",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectrum Healthcare Group, Inc.
• Spectrum of Vibes, LLC (Spectrum Psychiatry)
• Katsy Spence
• Spencer Family Chiropractic, PLLC
• Christopher Spencer-McKenna
• Kiana A Spencer, DC
• Melodie Spencer
• Raphael Spencer
• Steven Allan Spencer, MPT
• Marina Spiegel-Westfall, LPC

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.