Individual provider Active NPI

Richard C Doede, D.C.

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1184659013
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001351 Issued in WA
Practice address
8919 E Broadway Ave
Spokane Valley, WA 99212-2719
Phone
(509) 924-7374
Fax
(509) 927-8896
NPI assigned
Jul 11, 2006
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001351 WA Primary
Chiropractor 111N00000X 1557 OR
Chiropractor 111N00000X C-510 ID

Addresses

Primary practice location

8919 E Broadway Ave
Spokane Valley, WA 99212-2719

Mailing address

8919 E Broadway Ave
Spokane Valley, WA 99212-2719
Phone (509) 924-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000219 WA Practitioner - Chiropractic 9931119146 Practice locations: Spokane Valley, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8919 E Broadway Ave
Spokane Valley, WA 99212-2719
Phone (509) 924-7374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-510IDMDChiropractor
CH00001351WAMDChiropractor
1557ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Chiropractic and Wellness PLLC Chiropractor PastSince May 6, 2026 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1184659013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 E BROADWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122719",
            "telephone_number": "509-924-7374",
            "fax_number": "509-927-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 E BROADWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122719",
            "telephone_number": "509-924-7374",
            "fax_number": "509-927-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEDE",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001351",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1557",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C-510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.