Organization Active NPI

The Spinal Care Center of North Central Washington, Inc

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1588933006
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
UBI# 602808864 Issued in WA
Legal business name
THE SPINAL CARE CENTER OF NORTH CENTRAL WASHINGTON, INC
Practice address
414 S Chelan Ave
Wenatchee, WA 98801-2912
Phone
(509) 664-5160
Fax
(509) 667-2518
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Robert E St.Dennis, D.C.
Title
Owner/Doctor
Phone
(509) 664-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X UBI# 602808864 WA Primary

Addresses

Primary practice location

414 S Chelan Ave
Wenatchee, WA 98801-2912

Mailing address

PO Box 1904
Wenatchee, WA 98807-1904
Phone (509) 664-5160

National Provider Directory

National Provider Directory

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1588933006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1904",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988071904",
            "telephone_number": "509-664-5160",
            "fax_number": "509-667-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012912",
            "telephone_number": "509-664-5160",
            "fax_number": "509-667-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINAL CARE CENTER OF NORTH CENTRAL WASHINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "ST.DENNIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "509-664-5160",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "UBI#  602808864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.