NPIMap

Organization Active NPI

Roybal Chiropractic PS

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1295941813
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003414 Issued in WA
Legal business name
ROYBAL CHIROPRACTIC PS
Practice address
1203 W Francis Ave
Spokane, WA 99205-6640
Phone
(509) 328-7575
Fax
(509) 328-5031
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mario Roybal, DCNPI 1245306687
Title
Owner
Phone
(509) 328-7575

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003414 WA Primary

Addresses

Primary practice location

1203 W Francis Ave
Spokane, WA 99205-6640

Mailing address

1203 W Francis Ave
Spokane, WA 99205-6640
Phone (509) 328-7575

Other identifiers 2

IdentifierTypeStateIssuer
8330243MedicaidWA
350054831OtherWARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000243 WA Part B Supplier - Clinic/Group Practice 1850282542 Receives reassigned benefits from 4 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

1203 W Francis Ave
Spokane, WA 99205
Phone (509) 328-7575

Practitioners & affiliated clinicians

Practitioners 12

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1295941813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056640",
            "telephone_number": "509-328-7575",
            "fax_number": "509-328-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056640",
            "telephone_number": "509-328-7575",
            "fax_number": "509-328-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYBAL CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ROYBAL",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-328-7575",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8330243",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.