Organization Active NPI

Arizona Precision Spine PLLC

  • Orthopaedic Surgery Physician
  • Flagstaff, AZ
National Provider Identifier
1487466512
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ARIZONA PRECISION SPINE PLLC
Practice address
77 W Forest Ave Ste 108
Flagstaff, AZ 86001-1482
Phone
(928) 622-6622
Fax
(928) 622-6626
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Cynthia Morse
Title
Contracted Employee
Phone
(907) 350-3714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

77 W Forest Ave Ste 108
Flagstaff, AZ 86001-1482

Mailing address

77 W Forest Ave Ste 108
Flagstaff, AZ 86001-1482
Phone (928) 622-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218003798 AZ Part B Supplier - Clinic/Group Practice 3971023193 Receives reassigned benefits from 1 practitioner
Practice locations: Flagstaff, AZ

National Provider Directory

National Provider Directory

Locations

77 W Forest Ave
Ste 108
Flagstaff, AZ 86001
Phone (928) 622-6622

Practitioners & affiliated clinicians

Practitioners 4

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": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1487466512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 108",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-622-6622",
            "fax_number": "928-622-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W FOREST AVE STE 108",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011482",
            "telephone_number": "928-622-6622",
            "fax_number": "928-622-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRECISION SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CONTRACTED EMPLOYEE",
        "authorized_official_telephone_number": "907-350-3714"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.