Organization Active NPI

Spokane Brain & Spine, PS

  • Neurological Surgery Physician
  • Spokane, WA
National Provider Identifier
1679745905
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPOKANE BRAIN & SPINE, PS
Practice address
801 W 5TH Ave
Suite 210
Spokane, WA 99204-2823
Phone
(509) 744-3490
Fax
(509) 744-3499
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization
SPOKANE BRAIN & SPINE, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
John James Demakas, MD
Title
Owner/President
Phone
(509) 744-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

801 W 5TH Ave
Suite 210
Spokane, WA 99204-2823

Mailing address

801 W 5TH Ave
Suite 210
Spokane, WA 99204-2823
Phone (509) 744-3490

National Provider Directory

National Provider Directory
Part of
Spokane Brain Spine PS

Locations

801 W 5th Ave
Ste 210
Spokane, WA 99204
Phone (509) 744-3490

Practitioners & affiliated clinicians

Practitioners 2

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1679745905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-744-3490",
            "fax_number": "509-744-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 5TH AVE",
            "address_2": "SUITE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042823",
            "telephone_number": "509-744-3490",
            "fax_number": "509-744-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE BRAIN & SPINE, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE BRAIN & SPINE, PS",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "DEMAKAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-744-3490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "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 Jun 10, 2008; 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.