Organization Active NPI

Scoliosis Center of East Texas, Inc.

  • Clinic/Center
  • Canton, TX
National Provider Identifier
1003062654
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC6598 Issued in TX
Legal business name
SCOLIOSIS CENTER OF EAST TEXAS, INC.
Practice address
921 W Dallas St
Canton, TX 75103-1009
Phone
(903) 567-5579
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Tina M. Ingram
Title
Owner
Phone
(903) 567-5579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X DC6598 TX Primary

Addresses

Primary practice location

921 W Dallas St
Canton, TX 75103-1009

Mailing address

921 W Dallas St
Canton, TX 75103-1009

National Provider Directory

National Provider Directory

Locations

921 W Dallas St
Canton, TX 75103
Phone (903) 567-5579

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1003062654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W DALLAS ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751031009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W DALLAS ST",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751031009",
            "telephone_number": "903-567-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLIOSIS CENTER OF EAST TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-567-5579",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "DC6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.