Organization Active NPI

Pain and Spine Recovery PLLC

  • Clinic/Center
  • Dearborn Heights, MI
National Provider Identifier
1073108643
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PAIN AND SPINE RECOVERY PLLC
Practice address
8560 N Silvery LN
Dearborn Heights, MI 48127-4515
Phone
(248) 525-8697
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Abid Agha, MD
Title
Physician
Phone
(248) 525-8697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8560 N Silvery LN
Dearborn Heights, MI 48127-4515

Mailing address

27644 Hartwick Cir
Novi, MI 48374-4002
Phone (248) 525-8697

Other identifiers 1

IdentifierTypeStateIssuer
00-111-000OtherAUTO INSURANCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1073108643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27644 HARTWICK CIR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483744002",
            "telephone_number": "248-525-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274515",
            "telephone_number": "248-525-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND SPINE RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-525-8697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO INSURANCE",
            "identifier": "00-111-000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.