Organization Active NPI

Cheney Spinal Care PS

  • Chiropractor
  • Cheney, WA
National Provider Identifier
1407905300
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034406 Issued in WA
Legal business name
CHENEY SPINAL CARE PS
Practice address
1951 1St St
Cheney, WA 99004-2000
Phone
(509) 235-2122
Fax
(509) 235-2444
NPI assigned
Jan 9, 2007
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Robert F Collins, DCNPI 1013028539
Title
Presiden
Phone
(509) 235-2122

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 CH00034406 WA Primary

Addresses

Primary practice location

1951 1St St
Cheney, WA 99004-2000

Mailing address

1951 1St St
Cheney, WA 99004-2000
Phone (509) 235-2122

Other identifiers 1

IdentifierTypeStateIssuer
1013028539OtherWAINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000505 WA Part B Supplier - Clinic/Group Practice 6608877253 Receives reassigned benefits from 1 practitioner
Practice locations: Cheney, WA

National Provider Directory

National Provider Directory

Locations

1853 1st St
Cheney, WA 99004
Phone (509) 235-2122

1951 1st St
Cheney, WA 99004
Phone (509) 235-2111

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1407905300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042000",
            "telephone_number": "509-235-2122",
            "fax_number": "509-235-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990042000",
            "telephone_number": "509-235-2122",
            "fax_number": "509-235-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENEY SPINAL CARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "509-235-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013028539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheney, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.