Spicer Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4654 Issued in MN

Legal business name

SPICER CHIROPRACTIC PA

Practice address

1954 Saint Francis Ave
Shakopee, MN 55379-4308

Phone

(952) 403-1472

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tom Patrick Spicer, DC

Title

Owner

Phone

(952) 403-1472

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1992954853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 SAINT FRANCIS AVE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794308",
            "telephone_number": "952-403-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 SAINT FRANCIS AVE",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794308",
            "telephone_number": "952-403-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPICER CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-403-1472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4654",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "4654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "263P1SP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Solie
• Payton Somerville
• South Metro Speech Services, LLC
• South Shakopee Chiropractic
• Southwest Metro Intermediate District
• Tom Patrick Spicer, D.C.
• St Francis Ambulatory Services LLC
• St Francis Ambulatory Services LLC
• St Francis Regional Medical Center
• St Francis Regional Medical Center

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.