NPIMap

Organization Active NPI

Spanaway Chiropractic Clinic

  • Rehabilitation Chiropractor
  • Spanaway, WA
National Provider Identifier
1942429501
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH00001717 Issued in WA
Legal business name
SPANAWAY CHIROPRACTIC CLINIC
Practice address
129 176TH St S Ste a
Spanaway, WA 98387-4616
Phone
(253) 539-0132
Fax
(253) 539-0241
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. John Richard Quigley Jr., D.C.NPI 1043359102
Title
Owner
Phone
(253) 539-0132

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
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CH00001717 WA Primary

Addresses

Primary practice location

129 176TH St S Ste a
Spanaway, WA 98387-4616

Mailing address

129 176TH St S Ste a
Spanaway, WA 98387-4616
Phone (253) 539-0132

Other names 1

  • Pain and Injury Center Other name

National Provider Directory

National Provider Directory

Locations

129 176th St S
Ste A
Spanaway, WA 98387
Phone (253) 539-0132

Practitioners & affiliated clinicians

Practitioners 3

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1942429501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 176TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874616",
            "telephone_number": "253-539-0132",
            "fax_number": "253-539-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 176TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874616",
            "telephone_number": "253-539-0132",
            "fax_number": "253-539-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANAWAY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-539-0132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH00001717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain and Injury Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.