Organization Active NPI

Spine Surgery Providers LLC

  • Registered Nurse First Assistant
  • Dallas, TX
National Provider Identifier
1154602183
Registry record updated Sep 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
SPINE SURGERY PROVIDERS LLC
Practice address
10455 N Central Expy
Suite 109-340
Dallas, TX 75231-2213
Phone
(214) 550-5300
NPI assigned
Sep 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2011

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

Authorized official

Name
Douglas S Won, MD
Title
Owner
Phone
(214) 550-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

10455 N Central Expy
Suite 109-340
Dallas, TX 75231-2213

Mailing address

10455 N Central Expy
Suite 109-340
Dallas, TX 75231-2213
Phone (214) 550-5300

National Provider Directory

National Provider Directory

Locations

10455 N Central Expy
Ste 109340
Dallas, TX 75231
Phone (214) 550-5300

NPI Registry JSON

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315008000000",
    "number": "1154602183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY",
            "address_2": "SUITE 109-340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312213",
            "telephone_number": "214-550-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 N CENTRAL EXPY",
            "address_2": "SUITE 109-340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312213",
            "telephone_number": "214-550-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SURGERY PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-03",
        "last_updated": "2011-09-03",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-550-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.