Individual provider Active NPI

Daniel J Osborne, DC

  • Chiropractor
  • Liberty Lake, WA
National Provider Identifier
1497763387
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034397 Issued in WA
Practice address
1334 N Whitman
#100
Liberty Lake, WA 99019-7594
Phone
(509) 922-1810
Fax
(509) 922-1823
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034397 WA Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000266 WA Practitioner - Chiropractic 3678546017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1334 N Whitman LN
Suite 180
Liberty Lake, WA 99019-6034
Phone (509) 922-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034397WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Osborne Chiropractic PLLC Chiropractor CurrentSince Feb 1, 2011 Accepting new patients
U District Physical Therapy and Institute of Sports Performance PastSince Apr 26, 2018 Accepting new patients
Pearson and Weary Pain Relief Clinics P.C. Chiropractor PastSince Sep 25, 2017 Accepting new patients

Locations

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

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1497763387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N WHITMAN LANE",
            "address_2": "#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",
            "address_2": "#100",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197594",
            "telephone_number": "509-922-1810",
            "fax_number": "509-922-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.