Individual provider Active NPI

Benjamin Charles Spitzenberger, D.C.

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1962667329
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10939 Issued in TX
Practice address
2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844
Phone
(512) 733-8838
Fax
(512) 733-8828
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10939 TX Primary

Addresses

Primary practice location

2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844

Mailing address

2201 Double Creek Dr Ste 5003
Round Rock, TX 78664-3844
Phone (512) 733-8838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180313000254 TX Practitioner - Chiropractic 6709148620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused on You Chiropractic P.L.L.C.Group PAC ID 7315045481, 3 clinicians

Practice addresses (Care Compare)

2201 Double Creek Dr
Suite 5003
Round Rock, TX 78664-3844
Phone (512) 733-8838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10939TXMDDental Hygienist

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

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1962667329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DOUBLE CREEK DR STE 5003",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643844",
            "telephone_number": "512-733-8838",
            "fax_number": "512-733-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DOUBLE CREEK DR STE 5003",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643844",
            "telephone_number": "512-733-8838",
            "fax_number": "512-733-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZENBERGER",
        "first_name": "BENJAMIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.