Active NPI
Novaspine Pain Institute, PLC
- Durable Medical Equipment & Medical Supplies
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 42990
- Legal business name
- NOVASPINE PAIN INSTITUTE, PLC
- Practice address
- 3615 S Rome St
Gilbert, AZ 85297-7335 - Phone
- (480) 771-4400
- Fax
- (480) 771-4381
- NPI assigned
- Aug 22, 2016
- Last updated
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David K Tom, MD
- Title
- Owner
- Phone
- (480) 372-8312
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 42990 | AZ | Primary |
Addresses
Primary practice location
3615 S Rome St
Gilbert, AZ 85297-7335
Mailing address
PO Box 5068
Sun City West, AZ 85376-5068
Phone (623) 777-4747
National Provider Directory
National Provider DirectoryLocations
3645 S Rome St
Ste 204
Gilbert, AZ 85297
Phone (480) 534-4520
Practitioners & affiliated clinicians
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.
-
- Interventional Pain Medicine Physician
- Sun City, AZ
- NPI 1043491988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1356896138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5068",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853765068",
"telephone_number": "623-777-4747",
"fax_number": "480-771-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 S ROME ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977335",
"telephone_number": "480-771-4400",
"fax_number": "480-771-4381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVASPINE PAIN INSTITUTE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-22",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "TOM",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-372-8312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AZ",
"license": "42990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
- Nova Health Partners (Stonebridge Family Care)
- Nova Psychotherapy Services
- Andrew Novak, PA
- Genevieve Novak
- Novaspine Pain Institute PLC
- Arthur S. Novelly, D.D.S.
- Novum Valebat LLC (Complete Care Physical Therapy)
- Sharon Ann Novy, M.D.
- Now Eye See Vision Care (Now Eye See Vision Care, LLC)
- Tanisha Loren Nowicki, M.ED., LBA, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.