Sparc Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012439 Issued in IL

Legal business name

SPARC CHIROPRACTIC, P.C.

Practice address

800-2 Frontenac Road
#2
Aurora, IL 60504

Phone

(630) 854-3245

NPI assigned

Jun 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael Quintana, D.C.

Title

Doctor of Chiropractic

Phone

(630) 649-0620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Bateman Kinsella, D.C.

  • Chiropractor
  • Aurora, IL
  • NPI 1205276102
  Medicare reassignment NPD

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1962840330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 CHESAPEAK DRIVE",
            "address_2": "#3D",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800-2 FRONTENAC ROAD",
            "address_2": "#2",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-854-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARC CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "630-649-0620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee A Souba, MSW, LCSW
• South Naperville Family Practice, LTD.
• Southwest Digestive Diseases Consultants S C
• Emily Sowa
• Katherine Spalding, APN
• Sparrow'S Spring Clinical Services, LTD.
• Katherine M Spellman
• Jessica Spera, MA, CCC-SLP/L
• Kimberly Anne Spielman, DDS
• Spinal Rehab & Wellness Center PC

• Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.