Active NPI
Stephen R. Hathaway, D.C.
- Chiropractor
- Spokane, WA
National Provider Identifier
1386733376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00000849
- Practice address
- 8621 N Division St
Suite a
Spokane, WA 99208-5943 - Phone
- (509) 468-5247
- Fax
- (509) 319-2477
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00000849 | WA | Primary |
Addresses
Primary practice location
8621 N Division St
Suite a
Spokane, WA 99208-5943
Mailing address
8621 N Division St
Suite a
Spokane, WA 99208-5943
Phone (509) 468-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000302072 | Other | WA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00000849 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Chiropractic PC | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Spokane, WA
- NPI 1528240504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1386733376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8621 N DIVISION ST",
"address_2": "SUITE A",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085943",
"telephone_number": "509-468-5247",
"fax_number": "509-319-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8621 N DIVISION ST",
"address_2": "SUITE A",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085943",
"telephone_number": "509-468-5247",
"fax_number": "509-319-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "STEPHEN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00000849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "000302072",
"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 May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.