Kingwood Spine Center Inc.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

KINGWOOD SPINE CENTER INC.

Practice address

350 Kingwood Medical Dr Ste 130
Kingwood, TX 77339-6406

Phone

(713) 840-0401

Fax

(832) 553-3211

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Saqib A Siddiqui, M.D.

Title

President

Phone

(713) 840-0401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1013198167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33300 EGYPT LN STE C800",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542871",
            "telephone_number": "713-840-0401",
            "fax_number": "832-553-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KINGWOOD MEDICAL DR STE 130",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396406",
            "telephone_number": "713-840-0401",
            "fax_number": "832-553-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD SPINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-840-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingwood Physician Group PLLC
• Kingwood Psychotherapy & Assessment Center
• Kingwood Smiles Dentistry,PC
• Kingwood SNF, LLC
• Kingwood Speech Pathology Services, PLLC
• Kristine Miller Kirtley, PA
• Karlee Kleibrink, LPC
• Amber Kloosterman, AS
• Charmagne Kneip, R.PH.
• Rob D Knepper, MS, ATC, LAT, PES, C

• Orthopaedic Surgery of the Spine Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.