Scoliosis Northwest

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SCOLIOSIS NORTHWEST

Practice address

509 N Homestead Dr
Liberty Lake, WA 99019-7580

Phone

(509) 389-4783

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Mandler, L.C.O.NPI 1154470193

Title

Orthotist/Owner

Phone

(509) 389-4783

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kenneth Alan Mandler, C.O. CERTIFIED ORTHO

  • Orthotist
  • Liberty Lake, WA
  • NPI 1154470193
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1598547135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N HOMESTEAD DR",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197580",
            "telephone_number": "509-389-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N HOMESTEAD DR",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197580",
            "telephone_number": "509-389-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLIOSIS NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "MANDLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ORTHOTIST/OWNER",
        "authorized_official_telephone_number": "509-389-4783",
        "authorized_official_credential": "L.C.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiola Sabastian
• Carrie Sarff, LMP
• Amy Karen Schaffner, FNP-BC
• Bradley Schuldt
• Tracy Schwartzman, NP
• Scott W Ralph, DDS Ms PS
• Allen R Seely, MD
• Shanley Psychiatry
• Cameron Simonds
• Alex Sizov, LMT

• Prosthetic/Orthotic Supplier in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.