Spinal Diagnostics PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPINAL DIAGNOSTICS PLLC

Practice address

528 E Spokane Falls Blvd
#14
Spokane, WA 99202-1638

Phone

(509) 455-6736

Fax

(509) 455-6737

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Renea Dehn

Title

Office Manager

Phone

(509) 455-6736

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1982807731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD",
            "address_2": "#14",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021638",
            "telephone_number": "509-455-6736",
            "fax_number": "509-455-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD",
            "address_2": "#14",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021638",
            "telephone_number": "509-455-6736",
            "fax_number": "509-455-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DEHN",
        "authorized_official_first_name": "RENEA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-455-6736"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200140",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel M Spicer
• Peter Spiewak, RN
• Kayla Spilde, APRN
• Christine Irene Spilker
• Spinal Diagnostic Associates
• Spine-D LLC
• Jennifer Spink, ARNP
• Bobbie Spiro
• Daniel Kenneth Spitz
• Jonathan Spitz, MD

• Diagnostic Radiology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.