NPIMap

Organization Active NPI

Northside Spine Center, LLC

Doing business as Northside Spine Center

  • Pain Clinic/Center
  • Spring, TX
National Provider Identifier
1609168780
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
K8150 Issued in TX
Legal business name
NORTHSIDE SPINE CENTER, LLC
Doing business as
Northside Spine Center
Practice address
10507 E Wildwind Cir
Spring, TX 77380-4043
Phone
(281) 543-0012
Fax
(281) 605-4566
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Mark Jason Filley, MD
Title
President
Phone
(281) 543-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X K8150 TX Primary

Addresses

Primary practice location

10507 E Wildwind Cir
Spring, TX 77380-4043

Mailing address

10507 E Wildwind Cir
Spring, TX 77380-4043
Phone (281) 543-0012

Other names 1

  • Northside Spine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northside Spine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1609168780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 E WILDWIND CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804043",
            "telephone_number": "281-543-0012",
            "fax_number": "281-605-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 E WILDWIND CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804043",
            "telephone_number": "281-543-0012",
            "fax_number": "281-605-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "FILLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-543-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "K8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.