NPIMap

Organization Active NPI

Pacific Spine Center LLC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1093158784
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PACIFIC SPINE CENTER LLC
Practice address
7817 Pacific Ave
Tacoma, WA 98408-7036
Phone
(253) 272-6061
Fax
(253) 472-6195
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Dat Hong Lu, DC
Title
Doctor of Chiropractic
Phone
(253) 472-6061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X WA Primary

Addresses

Primary practice location

7817 Pacific Ave
Tacoma, WA 98408-7036

Mailing address

7817 Pacific Ave
Tacoma, WA 98408-7036
Phone (253) 272-6061

National Provider Directory

National Provider Directory
Tax ID family
Pacific Spine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1093158784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087036",
            "telephone_number": "253-272-6061",
            "fax_number": "253-472-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087036",
            "telephone_number": "253-272-6061",
            "fax_number": "253-472-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "DAT",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "253-472-6061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.