SPINE TEAM SPOKANE
NPI 1780754499
Pain Medicine - Interventional Pain Medicine in Spokane Valley, WA

Q: What is T Daniel Dibble MD PC's NPI number?

The NPI number for T Daniel Dibble MD PC is 1780754499. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Spine Team Spokane.

Q: What is T Daniel Dibble MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since November 09, 2006CLIA 50D2175720 · Certificate of Compliance

1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216(509) 363-3100(509) 363-0300 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Apr 29, 2021 (2 updates tracked since 2021).

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About Spine Team Spokane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE TEAM SPOKANE (NPI 1780754499) is a healthcare organization registered as an interventional pain medicine in Spokane Valley, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028, maintains a secondary practice location in Spokane, and lists T Daniel Dibble, President, as its authorized official.

NPPES Registry Identity

NPI1780754499

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameT DANIEL DIBBLE MD PC

Location Address1123 N EVERGREEN RDSpokane Valley, WA 99216-1138

Mailing AddressPo Box 808Veradale, WA 99037-0808 · (509) 363-3100 · Fax (509) 363-0300

Phone(509) 363-3100

Fax(509) 363-0300

Organization SubpartNo

Authorized OfficialT Daniel DibblePresident · (509) 363-3100

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1780754499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in WA · MD00042632

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License M-7950 (ID)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License MD00048246 (WA)

Also ListedPhysical TherapistTaxonomy 225100000X · License PT60041936 (WA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA10003398 (WA)

1123 N EVERGREEN RD, Spokane Valley, WA 99216

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Other Names 1

Doing Business AsSpine Team Spokane

Secondary Practice Location 1

Location 1510 E Holland AveSpokane, WA 99218-1206 · Phone (509) 363-3100 · Fax (509) 363-0300

Other Identifiers 2

Other217798WA · Labor And Industries

Medicaid805808900ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D2175720

Spine Team Spokane · Spokane Valley, WA

Active · expires Apr 4, 2028

CLIA Number50D2175720

Laboratory TypePhysician Office

Certificate Effective DateNovember 27, 2019

Certificate Expiration DateApril 4, 2028

Laboratory DirectorTimothy D. Dibble

Laboratory Phone(509) 363-3100

Laboratory LocationSpine Team Spokane1123 N Evergreen Rd, Spokane Valley, WA 99216

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIGUEL A SCHMITZ MD

Orthopaedic Surgery