Organization Active NPI

Ortho-Spine Care America PLLC

  • Multi-Specialty Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1407375744
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ORTHO-SPINE CARE AMERICA PLLC
Practice address
1260 37TH St Ste 102
Vero Beach, FL 32960-6567
Phone
(772) 213-9800
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Adrianna Villarreal
Title
Credentialing Manager
Phone
(214) 295-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1260 37TH St Ste 102
Vero Beach, FL 32960-6567

Mailing address

1260 37TH St Ste 102
Vero Beach, FL 32960-6567
Phone (772) 213-9800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407375744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 37TH ST STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606567",
            "telephone_number": "772-213-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 37TH ST STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606567",
            "telephone_number": "772-213-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO-SPINE CARE AMERICA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "214-295-6703"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.