Organization Active NPI

Spine DFW PA

Doing business as Texas Spine Associates

  • Orthopaedic Surgery of the Spine Physician
  • Irving, TX
National Provider Identifier
1184270845
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SPINE DFW PA
Doing business as
Texas Spine Associates
Practice address
440 W LBJ Fwy Ste 465
Irving, TX 75063-3869
Phone
(214) 680-9881
NPI assigned
Aug 16, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Neil ShahNPI 1437474608
Title
Owner
Phone
(214) 680-9881

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
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary

Addresses

Primary practice location

440 W LBJ Fwy Ste 465
Irving, TX 75063-3869

Mailing address

24 Glen Abbey Dr
Dallas, TX 75248-2799
Phone (214) 680-9881

Other names 1

  • Texas Spine Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200207000092 TX Part B Supplier - Clinic/Group Practice 1052747276 Receives reassigned benefits from 5 practitioners
Practice locations: Irving, TX
O20201110000736 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1052747276 Practice locations: Irving, TX

National Provider Directory

National Provider Directory

Locations

2001 N MacArthur Blvd
Ste 335
Irving, TX 75061
Phone (214) 716-7573

440 W Lyndon B Johnson Fwy
Irving, TX 75063
Phone (972) 254-4297

440 W Lyndon B Johnson Fwy
Ste 465
Irving, TX 75063
Phone (972) 987-0969

1429 Clear Lake Rd
Ste 100
Weatherford, TX 76086
Phone (682) 207-5776

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGAJBD

Practitioners & affiliated clinicians

Practitioners 5

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1184270845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GLEN ABBEY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482799",
            "telephone_number": "214-680-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LBJ FWY STE 465",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633869",
            "telephone_number": "214-680-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DFW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-680-9881"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Spine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.