NPIMap

Organization Active NPI

Central Chiropractic PC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1528240504
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002626 Issued in WA
Legal business name
CENTRAL CHIROPRACTIC PC
Practice address
20 W Central Ave
Spokane, WA 99205-6221
Phone
(509) 484-7578
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Gina M Yaritz, DCNPI 1710050851
Title
Owner
Phone
(509) 484-7578

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 CH00002626 WA Primary

Addresses

Primary practice location

20 W Central Ave
Spokane, WA 99205-6221

Mailing address

20 W Central Ave
Spokane, WA 99205-6221
Phone (509) 484-7578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000688 WA Part B Supplier - Clinic/Group Practice 7618918285 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

20 W Central Ave
Spokane, WA 99205
Phone (509) 484-7578

Practitioners & affiliated clinicians

Practitioners 11

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1528240504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CENTRAL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056221",
            "telephone_number": "509-484-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CENTRAL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056221",
            "telephone_number": "509-484-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "YARITZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-484-7578",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002626",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2007; 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.