Individual provider Active NPI

Philip Doyle Spradley, DC

  • Chiropractor
  • Post Falls, ID
National Provider Identifier
1699300046
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-1977 Issued in ID
Practice address
1624 E Seltice Way
Post Falls, ID 83854-7022
Phone
(208) 964-8390
Fax
(208) 773-9600
NPI assigned
Mar 5, 2020
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-1977 ID Primary

Addresses

Primary practice location

1624 E Seltice Way
Post Falls, ID 83854-7022

Mailing address

4095 S Stateline Rd
Post Falls, ID 83854-6754
Phone (208) 777-0128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200321000000 ID Practitioner - Chiropractic 1951739192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Hardison-Walz PCGroup PAC ID 9032150420, 2 clinicians

Practice addresses (Care Compare)

1624 E Seltice Way
Post Falls, ID 83854-7022
Phone (208) 777-0128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-1977IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlast Chiropractic, PC Chiropractor CurrentSince Mar 9, 2020 Accepting new patients
Hardison-Walz PC Chiropractor CurrentSince Mar 9, 2020 Accepting new patients

Locations

1624 E Seltice Way
Post Falls, ID 83854
Phone (208) 777-0128

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1699300046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 S STATELINE RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546754",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-964-8390",
            "fax_number": "208-773-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLEY",
        "first_name": "PHILIP",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHI-1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.