Organization Active NPI

Mark a. Spencer, D.C., P.a.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1972805570
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9819 Issued in FL
Legal business name
MARK A. SPENCER, D.C., P.A.
Practice address
2288 Drew St
Suite E
Clearwater, FL 33765-3307
Phone
(727) 791-1212
Fax
(727) 791-6666
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Mark Allen Spencer, D.C.
Title
Executive Officer
Phone
(727) 791-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9819 FL Primary

Addresses

Primary practice location

2288 Drew St
Suite E
Clearwater, FL 33765-3307

Mailing address

2288 Drew St
Suite E
Clearwater, FL 33765-3307
Phone (727) 791-1212

National Provider Directory

National Provider Directory

Locations

2288 Drew St
Ste E
Clearwater, FL 33765
Phone (727) 791-1212

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1972805570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 DREW ST",
            "address_2": "SUITE E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653307",
            "telephone_number": "727-791-1212",
            "fax_number": "727-791-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 DREW ST",
            "address_2": "SUITE E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653307",
            "telephone_number": "727-791-1212",
            "fax_number": "727-791-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. SPENCER, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-791-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.