Organization Active NPI

Dallas Integrated Spine and Joint Specialists PLLC

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1528725504
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
DALLAS INTEGRATED SPINE AND JOINT SPECIALISTS PLLC
Practice address
10400 N Central Expy
Dallas, TX 75231-2297
Phone
(972) 884-4400
NPI assigned
Nov 24, 2021
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Bart G Atencio, DC
Title
Manager
Phone
(512) 924-2978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

10400 N Central Expy
Dallas, TX 75231-2297

Mailing address

12501 Hymeadow Dr Ste 1F
Austin, TX 78750-1831
Phone (512) 924-2978

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1528725504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HYMEADOW DR STE 1F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501831",
            "telephone_number": "512-924-2978",
            "fax_number": "512-436-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 N CENTRAL EXPY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312297",
            "telephone_number": "972-884-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS INTEGRATED SPINE AND JOINT SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-924-2978",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.