DR. SPENCER WILLIAM WADE D.C.
NPI 1902108483
Chiropractor in Providence, UT

Active since December 03, 2010
565 W 465 N, SUITE 140, PROVIDENCE, UT 84332(433) 213-9645(435) 213-9631 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Spencer William Wade D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SPENCER WILLIAM WADE D.C. (NPI 1902108483) is an individual chiropractor in Providence, Utah, licensed in Utah (8449495-1202) and active in the NPI registry since December 2010. He is a graduate of Life Chiropractic College - West (2010).

NPPES Registry Identity

NPI1902108483
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SPENCER WILLIAM WADECredential: D.C.
Location Address565 W 465 N, SUITE 140Providence, UT 84332-4801
Mailing Address565 W 465 N, Suite 140Providence, UT 84332-4801 · (433) 213-9645 · Fax (435) 213-9631
Fax(435) 213-9631
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2010
Enumeration DateDecember 3, 2010
Last NPPES UpdateOctober 31, 2013
✔ NPI 1902108483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 8449495-1202
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
565 W 465 N, Providence, UT 84332

Other Identifiers 1

Other8449495-1202UT · Utah State Department Of Commerce

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer William Wade D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527257039
PECOS Enrollment IDI20130920000149

Medicare Billing Reassignment

Medicare enrollment records show Spencer Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
565 W 465 N, SUITE 140
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
89 services12 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
565 W 465 N, SUITE 150
PROVIDENCE, UT 84332
Chiropractor
565 W 465 N, SUITE 140
PROVIDENCE, UT 84332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Wade's NPI number?

The NPI number for Spencer Wade is 1902108483. It was assigned to this individual provider in the NPPES registry on December 3, 2010.

Where is Spencer Wade located?

Spencer Wade practices at 565 W 465 N Suite 140, Providence, UT 84332. The listed phone number is (433) 213-9645.

What is Spencer Wade's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Spencer Wade enrolled in Medicare?

Yes. Spencer Wade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Spencer Wade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Wade reassigns Medicare benefits to Integrity Chiropractic (Providence, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Spencer Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Wade accept?

Health plans from Providence Health Plan list Spencer Wade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spencer Wade was last updated on October 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.