Organization Active NPI

Spokane Valley Chiropractic Center,P.L.L.C.

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1881628030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003130 Issued in WA
Legal business name
SPOKANE VALLEY CHIROPRACTIC CENTER,P.L.L.C.
Practice address
905 N Pines Rd
Suite C
Spokane Valley, WA 99206-4900
Phone
(509) 924-9990
Fax
(509) 924-9990
NPI assigned
Jul 11, 2006
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. Eric Cough, D.C.NPI 1205855335
Title
Owner / Provider
Phone
(509) 924-9990

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003130 WA Primary

Addresses

Primary practice location

905 N Pines Rd
Suite C
Spokane Valley, WA 99206-4900

Mailing address

905 N Pines Rd
Suite C
Spokane Valley, WA 99206-4900
Phone (509) 924-9990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061016000229 WA Part B Supplier - Clinic/Group Practice 3779589783 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Vly, WA

National Provider Directory

National Provider Directory

Locations

905 N Pines Rd
Ste C
Spokane Valley, WA 99206
Phone (509) 924-9990

Practitioners & affiliated clinicians

Practitioners 1

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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881628030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N PINES RD",
            "address_2": "SUITE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064900",
            "telephone_number": "509-924-9990",
            "fax_number": "509-924-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N PINES RD",
            "address_2": "SUITE C",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064900",
            "telephone_number": "509-924-9990",
            "fax_number": "509-924-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE VALLEY CHIROPRACTIC CENTER,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUGH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "509-924-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003130",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.