Organization Active NPI

Osborne Chiropractic PLLC

  • Chiropractor
  • Liberty Lake, WA
National Provider Identifier
1376841940
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH000034397 Issued in WA
Legal business name
OSBORNE CHIROPRACTIC PLLC
Practice address
1334 N Whitman LN # 100
Liberty Lake, WA 99019-7594
Phone
(509) 922-1810
Fax
(509) 922-1823
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dawnitta D Schell
Title
Business Manager
Phone
(509) 325-1977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH000034397 WA Primary

Addresses

Primary practice location

1334 N Whitman LN # 100
Liberty Lake, WA 99019-7594

Mailing address

1334 N Whitman LN # 100
Liberty Lake, WA 99019-7594
Phone (509) 922-1810

Other names 1

  • Daniel J Osborne DC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000494 WA Part B Supplier - Clinic/Group Practice 1759563463 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty Lake, WA

National Provider Directory

National Provider Directory

Locations

1334 N Whitman Ln
Ste 180
Liberty Lake, WA 99019
Phone (509) 922-1810

1334 N Whitman Ln
Ste 100
Liberty Lake, WA 99019
Phone (509) 255-5222

Practitioners & affiliated clinicians

Practitioners 1

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": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1376841940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N WHITMAN LN # 100",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197594",
            "telephone_number": "509-922-1810",
            "fax_number": "509-922-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N WHITMAN LN # 100",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197594",
            "telephone_number": "509-922-1810",
            "fax_number": "509-922-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHELL",
        "authorized_official_first_name": "DAWNITTA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-325-1977"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH000034397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel J Osborne DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.