Organization Active NPI

Spokane Back & Neck Clinic LLC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1841306420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPOKANE BACK & NECK CLINIC LLC
Practice address
10003 N Division St
Suite 101
Spokane, WA 99218-1344
Phone
(509) 468-2102
Fax
(509) 468-2108
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael G. Williams II, DC, CCSP, CSCSNPI 1255332847
Title
Doctor
Phone
(509) 468-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WA Primary

Addresses

Primary practice location

10003 N Division St
Suite 101
Spokane, WA 99218-1344

Mailing address

10003 N Division St
Suite 101
Spokane, WA 99218-1344
Phone (509) 468-2102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060831000152 WA Part B Supplier - Clinic/Group Practice 5698779825 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

10003 N Division St
Ste 101
Spokane, WA 99218
Phone (509) 468-2101

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841306420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 N DIVISION ST",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181344",
            "telephone_number": "509-468-2102",
            "fax_number": "509-468-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 N DIVISION ST",
            "address_2": "SUITE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181344",
            "telephone_number": "509-468-2102",
            "fax_number": "509-468-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE BACK & NECK CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "509-468-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC, CCSP, CSCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "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 Aug 22, 2020; 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.