Benjamin Stockton Gaines

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

06993393 Issued in WA

Practice address

13701 E Sprague Ave Ste B417W1
Spokane Valley, WA 99216-0811

Phone

(509) 922-5585

NPI assigned

Feb 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1891328647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 E CONGRESS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235441",
            "telephone_number": "805-748-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 E SPRAGUE AVE STE B417W1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160811",
            "telephone_number": "509-922-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 W 1st Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992016001",
            "country_code": "US",
            "telephone_number": "509-747-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "BENJAMIN",
        "middle_name": "STOCKTON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "06993393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.