Spine Sports& Pain Medicine Steven Kidman MDPC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD2006-0557 Issued in NM

Legal business name

SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC

Practice address

11 Calle Medico
Suite 2
Santa Fe, NM 87505-4705

Phone

(505) 795-7370

Fax

(505) 795-7371

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Steven Bruce Kidman, M D

Title

President Owner

Phone

(505) 795-7370

Specialties & licenses 1

Addresses

Practitioners 2

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

• Robert Alexander McCormick, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1922113349
  NPD (past)
• William Chase Keightley, M.D.

  • Psychiatry Physician
  • Santa Maria, CA
  • NPI 1730241100
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1124111901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LA PLACITA CIRSTEVEN KIDMAN MD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-795-7370",
            "fax_number": "505-795-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE MEDICO",
            "address_2": "SUITE 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054705",
            "telephone_number": "505-795-7370",
            "fax_number": "505-795-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "KIDMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "505-795-7370",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NM",
            "license": "MD2006-0557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher TJ Spier, DDS
• Lori Spillman
• Mary K Spindler, PHD, DOM, LMT
• Spine & Pain Institute of Santa Fe, LLC
• Spine Solutions, Inc
• Spring Lake Counseling LLC
• Elspeth Elaine Springsted, MBBS
• Kelsey Sprout
• Gizelle A Spurgeon, MD
• Amy Elizabeth Spurgin, LCSW

• Medical Specialty Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Medical Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.