Active NPI
The Spine and Joint Center
- Orthopaedic Surgery Physician
- Greenbelt, MD
National Provider Identifier
1053520064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1257111000 | Medicaid | MD |
Other names 1
- UCHENNA NWANERI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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.