Organization Active NPI

The Spine and Joint Center

  • Orthopaedic Surgery Physician
  • Greenbelt, MD
National Provider Identifier
1053520064
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE SPINE AND JOINT CENTER
Practice address
7300 Hanover Drive
Suite 103
Greenbelt, MD 20770-2013
Phone
(301) 860-1900
Fax
(301) 860-1909
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
THE SPINE AND JOINT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Octavia Harris
Title
Reimbursement Coordinator
Phone
(301) 860-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7300 Hanover Drive
Suite 103
Greenbelt, MD 20770-2013

Mailing address

7300 Hanover Drive
Suite 103
Greenbelt, MD 20770-2013
Phone (301) 860-1900

Other identifiers 1

IdentifierTypeStateIssuer
1257111000MedicaidMD

Other names 1

  • UCHENNA NWANERI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001402 DC Part B Supplier - Clinic/Group Practice 2860489374 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory
Part of
The Spine and Joint Center

Locations

14999 Health Center Dr
Ste 101
Bowie, MD 20716
Phone (301) 464-1885

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1053520064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DRIVE",
            "address_2": "SUITE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702013",
            "telephone_number": "301-860-1900",
            "fax_number": "301-860-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DRIVE",
            "address_2": "SUITE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702013",
            "telephone_number": "301-860-1900",
            "fax_number": "301-860-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE AND JOINT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SPINE AND JOINT CENTER",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_title_or_position": "REIMBURSEMENT COORDINATOR",
        "authorized_official_telephone_number": "301-860-1900"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257111000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCHENNA NWANERI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.