Individual provider Active NPI

Kyle Owen Sprecher, D.C.

  • Chiropractor
  • Webster, TX
National Provider Identifier
1992714620
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4523 Issued in TX
Practice address
425 E Nasa Pkwy
Webster, TX 77598-5314
Phone
(281) 332-1111
Fax
(281) 333-0523
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4523 TX Primary

Addresses

Primary practice location

425 E Nasa Pkwy
Webster, TX 77598-5314

Mailing address

425 E Nasa Pkwy
Webster, TX 77598-5314
Phone (281) 332-1111

Other practice location 1

203 W Main St
Lake Mills, IA 50450-1405
Phone (281) 334-1111

Other identifiers 1

IdentifierTypeStateIssuer
4523OtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040617001682 TX Practitioner - ChiropracticPractitioner - Preventive Medicine 9830173582 Practice locations: Webster, TX
I20200909000647 IA Practitioner - Chiropractic 9830173582 Practice locations: Lake Mills, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 W Main St
Space Center Chiropractic Iowa
Lake Mills, IA 50450-1405
Phone (281) 332-1111

425 E Nasa Pkwy
Webster, TX 77598-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4523TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Space Center Chiropractic Chiropractor CurrentSince Nov 1, 1987 Accepting new patients

Locations

425 E Nasa Pkwy
Spc Ctr
Webster, TX 77598
Phone (281) 332-1111

425 E Nasa Pkwy
Webster, TX 77598
Phone (281) 332-1111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1992714620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E NASA PKWY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985314",
            "telephone_number": "281-332-1111",
            "fax_number": "281-333-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E NASA PKWY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985314",
            "telephone_number": "281-332-1111",
            "fax_number": "281-333-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lake Mills",
            "state": "IA",
            "postal_code": "504501405",
            "country_code": "US",
            "telephone_number": "281-334-1111",
            "fax_number": "281-333-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRECHER",
        "first_name": "KYLE",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.