Organization Active NPI

Sierra Regional Spine Institute

  • Orthopaedic Surgery Physician
  • Reno, NV
National Provider Identifier
1104802297
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SIERRA REGIONAL SPINE INSTITUTE
Practice address
6630 S McCarran Blvd Ste A4
Sierra Regional Spine Institute
Reno, NV 89509-6158
Phone
(775) 828-2873
Fax
(775) 828-2889
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mrs. Penny A Forbes
Title
Practice Administrator
Phone
(775) 828-2873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X NV Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X NV

Addresses

Primary practice location

6630 S McCarran Blvd Ste A4
Sierra Regional Spine Institute
Reno, NV 89509-6158

Mailing address

6630 S McCarran Blvd Ste A4
Sierra Regional Spine Institute
Reno, NV 89509-6158
Phone (775) 828-2873

Other names 1

  • Sierra Regional Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040720001418 NV Part B Supplier - Clinic/Group Practice 0244210409 Receives reassigned benefits from 6 practitioners
Practice locations: Reno, NV
O20150702000487 NV DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0244210409 Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

485 W B St
Ste 1101
Fallon, NV 89406

6630 S McCarran Blvd
Ste A4
Reno, NV 89509
Phone (775) 282-2873

Practitioners & affiliated clinicians

Practitioners 6

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1104802297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE A4",
            "address_2": "SIERRA REGIONAL SPINE INSTITUTE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD STE A4",
            "address_2": "SIERRA REGIONAL SPINE INSTITUTE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA REGIONAL SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "775-828-2873",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Regional Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.