T DANIEL DIBBLE MD PC NPI 1780754499

NPI Information

  • NPI: 1780754499
  • Provider Name: T DANIEL DIBBLE MD PC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Doing Business As: SPINE TEAM SPOKANE
  • CLIA Number: 50D2175720
  • Address: 1123 N EVERGREEN RD
    SPOKANE VALLEY, WA
    ZIP 99216
  • Phone: (509) 363-3100

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NPI Details

T DANIEL DIBBLE MD PC is an interventional pain medicine pain medicine in Spokane Valley, WA. The provider is 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. T DANIEL DIBBLE MD PC NPI is 1780754499. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spine Team Spokane.

The provider's business location address is:

1123 N EVERGREEN RD
SPOKANE VALLEY, WA
ZIP 99216-138
Phone: (509) 363-3100
Fax: (509) 363-0300

The provider's authorized official is T Daniel Dibble .
The authorized official title is President and has the following contact phone number (509) 363-3100.

The CLIA number assigned to this NPI record is 50D2175720 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineM-7950IDAHONo
22081P2900XPhysical Medicine & RehabilitationPain MedicineMD00048246WASHINGTONNo
3225100000XPhysical TherapistPT60041936WASHINGTONNo
4363A00000XPhysician AssistantPA10003398WASHINGTONNo
5208VP0014XPain MedicineInterventional Pain MedicineMD00042632WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1217798OTHERWASHINGTONLABOR AND INDUSTRIES
2805808900MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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