Active NPI
Spine Cin of West Texas LLC
- Orthopaedic Surgery Physician
- San Antonio, TX
National Provider Identifier
1578071452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPINE CIN OF WEST TEXAS LLC
- Practice address
- 18911A Hardy Oak Blvd
San Antonio, TX 78258-4966 - Phone
- (615) 386-0006
- Fax
- (615) 386-0067
- NPI assigned
- Jan 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hannon
- Title
- SVP, Marketing and Communications
- Phone
- (615) 386-0064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TX | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | TX |
Addresses
Primary practice location
18911A Hardy Oak Blvd
San Antonio, TX 78258-4966
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
Other practice location 1
18600 Hardy Oak Blvd
San Antonio, TX 78258-4206
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
18911 Hardy Oak Blvd
#A
San Antonio, TX 78258
Phone (615) 386-0006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1578071452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18911A HARDY OAK BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584966",
"telephone_number": "615-386-0006",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [
{
"address_1": "18600 Hardy Oak Blvd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782584206",
"country_code": "US",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPINE CIN OF WEST TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-13",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
"authorized_official_telephone_number": "615-386-0064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Spinal Care & Rehab Center
- Kristina Michelle Spindel, AGACNP-BC
- Spine Care & Pain Management of San Antonio LLC
- Spine Care & Pain Management of San Antonio LLC
- Spine Care & Pain Management of San Antonio LLC
- Spineguard, PLLC
- Tamarah S Spink, R.PH.
- Spire Medical Management, Inc
- Richard Spitz, M.D.
- Robert Loren Spitzmesser, ATP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.