Active NPI
Regenerative Spine Pain & Wellness Institute PLLC
- Pain Medicine Physician
- Plano, TX
National Provider Identifier
1609355932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- REGENERATIVE SPINE PAIN & WELLNESS INSTITUTE PLLC
- Practice address
- 7709 San Jacinto PL Ste 101
Plano, TX 75024-3366 - Phone
- (214) 709-1904
- Fax
- (214) 279-8764
- NPI assigned
- Aug 8, 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
- Flavio Calderon
- Title
- Director
- Phone
- (214) 709-1904
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
7709 San Jacinto PL Ste 101
Plano, TX 75024-3366
Mailing address
7709 San Jacinto PL Ste 101
Plano, TX 75024-3366
Phone (214) 709-1904
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587340800000",
"number": "1609355932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 SAN JACINTO PL STE 101",
"city": "PLANO",
"state": "TX",
"postal_code": "750243366",
"telephone_number": "214-709-1904",
"fax_number": "214-279-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7709 SAN JACINTO PL STE 101",
"city": "PLANO",
"state": "TX",
"postal_code": "750243366",
"telephone_number": "214-709-1904",
"fax_number": "214-279-8764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE SPINE PAIN & WELLNESS INSTITUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "FLAVIO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-709-1904"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.