SPINE TEAM SPOKANE
NPI 1780754499
Pain Medicine - Interventional Pain Medicine in Spokane Valley, WA
NPI Status: Active since November 09, 2006
Contact Information
1123 N EVERGREEN RD
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 363-3100
Fax: (509) 363-0300
- Organization
- Pain Medicine
- Interventional Pain Medicine
- Accepts Insurance
- CLIA Number: 50D2175720
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About SPINE TEAM SPOKANE
This page provides the complete NPI Profile along with additional information for Spine Team Spokane, a provider established in Spokane Valley, Washington operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1780754499 assigned on November 2006. The practitioner's primary taxonomy code is 208VP0014X with license number MD00042632 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Spine Team Spokane operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Spine Team Spokane. The authorized official of this NPI record is T Daniel Dibble Md (President)
- NPI
- 1780754499
- Provider Legal Name
- T DANIEL DIBBLE MD PC
- Other Organization Name
- SPINE TEAM SPOKANE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1123 N EVERGREEN RD SPOKANE VALLEY, WA 99216
- Location Phone
- (509) 363-3100
- Location Fax
- (509) 363-0300
- Mailing Address
- PO BOX 808 VERADALE, WA 99037
- Mailing Phone
- (509) 363-3100
- Mailing Fax
- (509) 363-0300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2006
- Last Update Date
- 07-17-2023
- Code Navigator
Location Map
Secondary Locations
- 510 E Holland Ave
Spokane, WA 99218
(509) 363-3100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00042632
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | M-7950 (ID) |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | MD00048246 (WA) |
| 3 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT60041936 (WA) |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA10003398 (WA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 217798 | OTHER (01) | WA | LABOR AND INDUSTRIES |
| 805808900 | MEDICAID (05) | ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2175720
- Facility Type
- Physician Office
- Certificate Effective Date
- November 27, 2019
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TIMOTHY D. DIBBLE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Spine Team Spokane after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780754499, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SPOKANE VALLEY, WA 99216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780754499, enumerated as an "organization" on November 09, 2006.
The provider is located at 1123 N EVERGREEN RD SPOKANE VALLEY, WA 99216 and the phone number is (509) 363-3100.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
