Sean Benjamin Spaulding, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60071160 Issued in WA

Practice address

5125 Olympic Dr NW Ste 110
Gig Harbor, WA 98335-1712

Phone

(253) 853-4000

Fax

(253) 853-4001

NPI assigned

Feb 6, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Sport and Spine PLLCGroup PAC ID 1658656384, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Sport and Spine PLLC

  • Sports Physician Chiropractor
  • Gig Harbor, WA
  • NPI 1841672433
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1922247402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 OLYMPIC DR NW STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351712",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 OLYMPIC DR NW STE 110",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351712",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "SEAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60071160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soundlife Wellness PLLC
• Soundview Denture Clinic P.S.
• Source Physical Therapy LLC
• Melva J. Spangle, P.T.
• Melissa Joy Spaulding, D.D.S.
• Speech Matters Corp
• Lauren Nicole-Trittin Spencer, MS, LMFTA
• Susan H Sporl, MSW
• St. Anthony'S Family Dentistry, LLC
• Valerie C St. John, M.SC.

• Chiropractor in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.