Spine Spa

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

F1-0000788 Issued in DE

Legal business name

SPINE SPA

Practice address

300 Christiana Medical Ctr
Christiana, DE 19702-1653

Phone

(302) 731-0869

Fax

(302) 292-0669

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By 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

Dr. Brenda A Fairchild, DCNPI 1760792105

Title

President

Phone

(302) 731-0869

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Brenda Ann Fairchild, DC

  • Chiropractor
  • Christiana, DE
  • NPI 1760792105
  NPD (past) Authorized official
• Deana Marie Burd, D.C.

  • Chiropractor
  • Newark, DE
  • NPI 1033215140
  NPD (past)
• Julia Golod, D.C.

  • Chiropractor
  • Christiana, DE
  • NPI 1487750501
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1841592771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BERWYCK CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022078",
            "telephone_number": "302-731-0869",
            "fax_number": "302-292-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHRISTIANA MEDICAL CTR",
            "city": "CHRISTIANA",
            "state": "DE",
            "postal_code": "197021653",
            "telephone_number": "302-731-0869",
            "fax_number": "302-292-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-731-0869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "DE",
            "license": "F1-0000788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Lindsey Fletcher, M.S. CCC-SLP/L
• Julia Golod, D.C.
• MKL LTD LLC (Christiana Physical Therapy & Spine Center)
• Anita Marie O'Donnell, LPCMH
• Annie Paul
• Usv Optical Inc.
• Michelle L. Uy
• Willie Watson
• WHW Treatment Services
• WHW Treatment Services LLC

• Medical Specialty Clinic/Center in Christiana, DE
• Providers in Christiana, DE by specialty
• Medical Specialty Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.