Organization Active NPI

Renaissance Neurodiagnostics PA

Doing business as DISC Spine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1629355946
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
N7365 Issued in TX
Legal business name
RENAISSANCE NEURODIAGNOSTICS PA
Doing business as
DISC Spine Institute
Practice address
7712 San Jacinto Place
Suite 200
Plano, TX 75024-3212
Phone
(972) 707-0005
Fax
(888) 992-6199
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dr. Mark Charlie Valente, D.O
Title
Manager
Phone
(214) 384-1642

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X N7365 TX Primary

Addresses

Primary practice location

7712 San Jacinto Place
Suite 200
Plano, TX 75024-3212

Mailing address

7712 San Jacinto Place
Suite 200
Plano, TX 75024-3212
Phone (972) 707-0005

Other names 1

  • DISC Spine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

2000 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 539-0707

12485 Timberland Blvd
Ste 701
Fort Worth, TX 76244
Phone (817) 205-2939

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1629355946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 SAN JACINTO PLACE",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243212",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 SAN JACINTO PLACE",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243212",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE NEURODIAGNOSTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "VALENTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHARLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-384-1642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N7365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISC Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2014; 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.