Organization Active NPI

El Paso Orthopedic and Spine Institute PLLC

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1467238667
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLC
Practice address
1125 Texas Ave Ste B01
El Paso, TX 79901-1754
Phone
(915) 910-1351
Fax
(915) 262-4876
NPI assigned
Sep 4, 2023
Organization subpart
Yes
Parent organization
EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Melissa Trudie Boyer, MBA
Title
Practice Manager
Phone
(915) 910-1351

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1125 Texas Ave Ste B01
El Paso, TX 79901-1754

Mailing address

1125 Texas Ave Ste B01
El Paso, TX 79901-1754
Phone (915) 910-1351

Other names 1

  • The Spine Institute of El Paso Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
El Paso Orthopedic and Spine Institute PLLC2 organizations share this tax ID, including this one
Part of
El Paso Orthopedic and Spine Institute PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1467238667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TEXAS AVE STE B01",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011754",
            "telephone_number": "915-910-1351",
            "fax_number": "915-262-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TEXAS AVE STE B01",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011754",
            "telephone_number": "915-910-1351",
            "fax_number": "915-262-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLC",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "TRUDIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "915-910-1351",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Institute of El Paso",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.