NPIMap

Organization Active NPI

Quantum Interventional Sports and Spine Medicine

  • Interventional Pain Medicine Physician
  • Irving, TX
National Provider Identifier
1235611666
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
QUANTUM INTERVENTIONAL SPORTS AND SPINE MEDICINE
Practice address
1451 W Airport Fwy Ste 1
Irving, TX 75062-6223
Phone
(469) 913-6136
Fax
(877) 559-7679
NPI assigned
Sep 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Dr. Trung Van Ha, MDNPI 1780936971
Title
Owner
Phone
(694) 913-6136

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Q3883 TX
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1451 W Airport Fwy Ste 1
Irving, TX 75062-6223

Mailing address

1451 W Airport Fwy Ste 1
Irving, TX 75062-6223
Phone (469) 913-6136

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1235611666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W AIRPORT FWY STE 1",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626223",
            "telephone_number": "469-913-6136",
            "fax_number": "877-559-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W AIRPORT FWY STE 1",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626223",
            "telephone_number": "469-913-6136",
            "fax_number": "877-559-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INTERVENTIONAL SPORTS AND SPINE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "694-913-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q3883",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2023; 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.