Organization Active NPI

Northwest Texas Spine Center LLC

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1154361996
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9301 Issued in TX
Legal business name
NORTHWEST TEXAS SPINE CENTER LLC
Practice address
1600 S Coulter St
E701
Amarillo, TX 79106-1710
Phone
(806) 367-8480
Fax
(806) 367-7789
NPI assigned
Jun 8, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Dr. Darrell Eugene West, D.C.NPI 1346284825
Title
Owner
Phone
(806) 367-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9301 TX Primary

Addresses

Primary practice location

1600 S Coulter St
E701
Amarillo, TX 79106-1710

Mailing address

1600 S Coulter St
E701
Amarillo, TX 79106-1710
Phone (806) 367-8480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000964 TX Part B Supplier - Clinic/Group Practice 2466463187 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1600 S Coulter St
#E701
Amarillo, TX 79106
Phone (806) 367-8480

1600 S Coulter St
Ste 701
Amarillo, TX 79106
Phone (806) 367-8480

1600 S Coulter St
Ste E701
Amarillo, TX 79106
Phone (806) 356-2280

6900 W Interstate 40
Ste 275
Amarillo, TX 79106
Phone (803) 367-8480

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1154361996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "E701",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-367-8480",
            "fax_number": "806-367-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "E701",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-367-8480",
            "fax_number": "806-367-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TEXAS SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-367-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.