NPIMap

Organization Active NPI

Laser Spine Institute of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1174778484
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LASER SPINE INSTITUTE OF ARIZONA, LLC
Practice address
8888 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-3951
Phone
(813) 289-9613
Fax
(813) 418-4323
NPI assigned
Dec 1, 2008
Organization subpart
Yes
Parent organization
LASER SPINE INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Mr. Craig Niebur
Title
Chief Financial Officer
Phone
(813) 289-9613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8888 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-3951

Mailing address

8888 E Raintree Dr
Suite 100
Scottsdale, AZ 85260-3951
Phone (813) 289-9613

National Provider Directory

National Provider Directory
Part of
Laser Spine Institute LLC

Locations

8888 E Raintree Dr
Ste 100
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 105

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

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1174778484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603951",
            "telephone_number": "813-289-9613",
            "fax_number": "813-418-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8888 E RAINTREE DR",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603951",
            "telephone_number": "813-289-9613",
            "fax_number": "813-418-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE INSTITUTE OF ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LASER SPINE INSTITUTE, LLC",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "NIEBUR",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "813-289-9613",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.