NPIMap

Organization Active NPI

Gina M Wolf DC PS

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1205055902
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002966 Issued in WA
Legal business name
GINA M WOLF DC PS
Practice address
15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569
Phone
(509) 892-9800
Fax
(509) 892-9998
NPI assigned
Apr 24, 2007
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Gina M Wolf, DCNPI 1750431474
Title
President
Phone
(509) 892-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002966 WA Primary

Addresses

Primary practice location

15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569

Mailing address

15404 E Springfield Ave
Suite 100
Spokane Valley, WA 99037-8569
Phone (509) 892-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000439 WA Part B Supplier - Clinic/Group Practice 8527013945 Receives reassigned benefits from 4 practitioners
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

15404 E Springfield Ave
Ste 100
Spokane Valley, WA 99037
Phone (509) 892-9800

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1205055902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 E SPRINGFIELD AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378569",
            "telephone_number": "509-892-9800",
            "fax_number": "509-892-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15404 E SPRINGFIELD AVE",
            "address_2": "SUITE 100",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378569",
            "telephone_number": "509-892-9800",
            "fax_number": "509-892-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA M WOLF DC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-892-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002966",
            "primary": true
        }
    ],
    "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 Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.