Organization Active NPI

Novaspine Pain Institute, PLC

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
National Provider Identifier
1356896138
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
42990 Issued in AZ
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Dr. David K Tom, MDNPI 1043491988
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.