Organization Active NPI

Advanced Spine and Pain PC

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1295592798
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ADVANCED SPINE AND PAIN PC
Practice address
3355 Burns Rd Ste 102
Palm Beach Gardens, FL 33410-4354
Phone
(561) 628-5039
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Ravi Xavier, MD
Title
Owner
Phone
(561) 628-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3355 Burns Rd Ste 102
Palm Beach Gardens, FL 33410-4354

Mailing address

3355 Burns Rd Ste 102
Palm Beach Gardens, FL 33410-4354
Phone (561) 628-5039

National Provider Directory

National Provider Directory

Locations

3355 Burns Rd
Ste 102
Palm Beach Gardens, FL 33410
Phone (561) 627-8440

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1295592798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-628-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104354",
            "telephone_number": "561-628-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "XAVIER",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-628-5039",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.