Organization Active NPI

Delaware Spine

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1366089690
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DELAWARE SPINE
Practice address
503 N Tatnall St
Wilmington, DE 19801-2232
Phone
(302) 658-5232
Fax
(302) 658-5037
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Kevin J Cattie, DCNPI 1740764984
Title
Member
Phone
(302) 658-5232

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 Primary

Addresses

Primary practice location

503 N Tatnall St
Wilmington, DE 19801-2232

Mailing address

503 N Tatnall St
Wilmington, DE 19801-2232
Phone (302) 658-5232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407002371 DE Part B Supplier - Clinic/Group Practice 2668801994 Receives reassigned benefits from 3 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

503 N Tatnall St
Wilmington, DE 19801
Phone (302) 658-5232

1117 N Franklin St
Ste A
Wilmington, DE 19806
Phone (302) 658-5232

Practitioners & affiliated clinicians

Practitioners 3

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1366089690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N TATNALL ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012232",
            "telephone_number": "302-658-5232",
            "fax_number": "302-658-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N TATNALL ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198012232",
            "telephone_number": "302-658-5232",
            "fax_number": "302-658-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CATTIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "302-658-5232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.