Vincent V Sportelli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X002619 Issued in NY

Practice address

112 Dewitt St
Syracuse, NY 13203-2890

Phone

(315) 422-4712

Fax

(315) 471-7038

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1982693735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DEWITT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032890",
            "telephone_number": "315-422-4712",
            "fax_number": "315-471-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DEWITT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032890",
            "telephone_number": "315-422-4712",
            "fax_number": "315-471-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORTELLI",
        "first_name": "VINCENT",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Eileen Spinks, PH.D.
• Kenneth H Spitzer, MD
• Stephen G Spitzer, MD
• Patricia M Spizuoco, M.D.
• Diana Sponsler, LMT
• Robert P Sprafkin, PHD
• Joanne Sprague, CCC-SLP
• Kathleen Marie Sprague, CRNA
• Michele Donna Spring, MD
• Sharon S Springer, MD

• Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.