Organization Active NPI

Center for Scoliosis and Advanced Spine Surgery

  • Orthopaedic Surgery Physician
  • Mansfield, TX
National Provider Identifier
1215392840
Registry record updated Dec 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q2386 Issued in TX
Legal business name
CENTER FOR SCOLIOSIS AND ADVANCED SPINE SURGERY
Practice address
2800 E Broad St
512
Mansfield, TX 76063-6409
Phone
(603) 369-1281
NPI assigned
Dec 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2015

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

Authorized official

Name
Dr. Dilip K Sengupta, MDNPI 1184656282
Title
Director
Phone
(603) 369-1281

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Q2386 TX Primary

Addresses

Primary practice location

2800 E Broad St
512
Mansfield, TX 76063-6409

Mailing address

2800 E Broad St
Suite 512
Mansfield, TX 76063-6409
Phone (603) 369-1281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223001601 TX Part B Supplier - Clinic/Group Practice 0547565947 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451088000000",
    "number": "1215392840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "SUITE 512",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "603-369-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST",
            "address_2": "512",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636409",
            "telephone_number": "603-369-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SCOLIOSIS AND ADVANCED SPINE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2015-12-26",
        "status": "A",
        "authorized_official_last_name": "SENGUPTA",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-369-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; 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.