Spine Physicians PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPINE PHYSICIANS PC

Practice address

20940 N Tatum Blvd
Suite 350
Phoenix, AZ 85050-4265

Phone

(480) 503-3344

NPI assigned

Dec 18, 2009

Last updated

Dec 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall C Pruitt, D.C.NPI 1164565131

Title

Director

Phone

(480) 503-3344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Randall C Pruitt, DC

  • Neurology Chiropractor
  • Phoenix, AZ
  • NPI 1164565131
  Authorized official Same address or phone

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1285963389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 E PINNACLE PEAK RD",
            "address_2": "SUITE F9-644",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553659",
            "telephone_number": "480-503-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20940 N TATUM BLVD",
            "address_2": "SUITE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504265",
            "telephone_number": "480-503-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-503-3344",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine & Orthopaedic Physical Therapy Center, LLC
• Spine & Orthopedic Institute
• Spine and Regenerative Medicine PLLC
• Spine Cin of Phoenix LLC
• Spine Consultants LLC (Joint Effort Physical Therapy)
• Spine Specialists of Arizona PC
• Ellen Renee Spinner, SCHOOL COUNSELOR
• Andrea Lynn Spira O'Connor, N.M.D., R.N.
• Tracee Nicole Spire, CHW
• Joshua Aaron Spiro, MD

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.