Organization Active NPI

Advanced Spine and Pain Centers, Inc.

  • Pain Clinic/Center
  • Little Rock, AR
National Provider Identifier
1619219433
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ADVANCED SPINE AND PAIN CENTERS, INC.
Practice address
11220 Executive Center Dr Ste 200
Little Rock, AR 72211-4492
Phone
(501) 219-1114
Fax
(501) 219-1115
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dr. Majid Saleem, M.D.NPI 1982658480
Title
Physician/Owner
Phone
(501) 219-1114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11220 Executive Center Dr Ste 200
Little Rock, AR 72211-4492

Mailing address

11220 Executive Center Dr Ste 200
Little Rock, AR 72211-4492
Phone (501) 219-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131014001329 AR Part B Supplier - Clinic/Group Practice 0547494189 Receives reassigned benefits from 3 practitioners
Practice locations: Conway, AR; Little Rock, AR; North Little Rock, AR
O20140609002151 AR DME Supplier - Physician - Interventional Pain Management 0547494189 Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory
Tax ID family
Advanced Spine and Pain Centers Inc2 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.

Locations

11220 Executive Center Dr
Little Rock, AR 72211
Phone (501) 219-1114

4020 Richards Rd
Ste F
North Little Rock, AR 72117
Phone (501) 503-5128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1619219433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114492",
            "telephone_number": "501-219-1114",
            "fax_number": "501-219-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114492",
            "telephone_number": "501-219-1114",
            "fax_number": "501-219-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND PAIN CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "501-219-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.