Individual provider Active NPI

Mark Charlie Valente, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1194930453
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
N7365 Issued in TX
Practice address
6200 Preston Rd Ste 300
Plano, TX 75024-2619
Phone
(972) 707-0005
Fax
(888) 992-6199
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X N7365 TX Primary

Addresses

Primary practice location

6200 Preston Rd Ste 300
Plano, TX 75024-2619

Mailing address

6200 Preston Rd Ste 300
Plano, TX 75024-2619
Phone (972) 707-0005

Other practice location 1

7712 San Jacinto Pl
suite 200
Plano, TX 75024-3257
Phone (214) 384-1642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 24, 2017 through Jul 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N7365TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Equinox Spine PA Orthopaedic Surgery of the Spine Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Disc Clinic PLLC Orthopaedic Surgery of the Spine PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1194930453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242619",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242619",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7712 San Jacinto Pl",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243257",
            "country_code": "US",
            "telephone_number": "214-384-1642",
            "fax_number": "888-992-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "MARK",
        "middle_name": "CHARLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N7365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.