Organization Active NPI

Head and Spine Institute LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Lindale, TX
National Provider Identifier
1407525538
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
HEAD AND SPINE INSTITUTE LLC
Practice address
14983 Boaz LN
Lindale, TX 75771-4801
Phone
(903) 530-9779
Fax
(903) 882-7748
NPI assigned
Sep 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Steven Michael Semich, R EEGT/EP T, CNIM, RNPI 1568596377
Title
Owner/Ceo
Phone
(903) 530-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

14983 Boaz LN
Lindale, TX 75771-4801

Mailing address

14983 Boaz LN
Lindale, TX 75771-4801
Phone (903) 530-9779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1407525538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14983 BOAZ LN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757714801",
            "telephone_number": "903-530-9779",
            "fax_number": "903-882-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14983 BOAZ LN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757714801",
            "telephone_number": "903-530-9779",
            "fax_number": "903-882-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "SEMICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-530-9779",
        "authorized_official_credential": "R EEGT/EP T, CNIM, R"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.