NPIMap

Organization Active NPI

Spinal & Sports Care Clinic P S

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1760699326
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINAL & SPORTS CARE CLINIC P S
Practice address
12905 E Sprague Ave
Spokane Valley, WA 99216-0731
Phone
(509) 922-0303
Fax
(509) 922-0657
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Steven L Shirley, DC
Title
Clinic Owner
Phone
(509) 922-0303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X WA

Addresses

Primary practice location

12905 E Sprague Ave
Spokane Valley, WA 99216-0731

Mailing address

12905 E Sprague Ave
Spokane Valley, WA 99216-0731
Phone (509) 922-0303

Other identifiers 1

IdentifierTypeStateIssuer
0038870OtherWALABOR AND INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000252 WA Part B Supplier - Clinic/Group Practice 3971408881 Receives reassigned benefits from 3 practitioners
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

12905 E Sprague Ave
Spokane Valley, WA 99216
Phone (509) 922-0303

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1760699326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160731",
            "telephone_number": "509-922-0303",
            "fax_number": "509-922-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160731",
            "telephone_number": "509-922-0303",
            "fax_number": "509-922-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL & SPORTS CARE CLINIC P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "509-922-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0038870",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.