NPIMap

Organization Active NPI

Spine & Pain Associates, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sanford, NC
National Provider Identifier
1639607153
Registry record updated May 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
SPINE & PAIN ASSOCIATES, PLLC
Practice address
1303 Carthage St
Sanford, NC 27330-8984
Phone
(585) 704-3526
NPI assigned
May 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2017

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

Authorized official

Name
Dr. Jasbir Dhaliwal, MDNPI 1609039692
Title
Co-Owner
Phone
(585) 704-3526

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 Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

1303 Carthage St
Sanford, NC 27330-8984

Mailing address

105 Avenue of the Est
Cary, NC 27518-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171024002426 NC Part B Supplier - Clinic/Group Practice 1850667502 Receives reassigned benefits from 11 practitioners
Practice locations: Sanford, NC
O20180614003110 NC DME Supplier - Physician - General Practice 1850667502 Practice locations: Sanford, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2136821Spine and Pain Associates1303 Carthage Street, Sanford, NC 27330AccreditationAug 1, 2026

National Provider Directory

National Provider Directory

Locations

2304 Wesvill Ct
Ste 320
Raleigh, NC 27607
Phone (919) 825-3902

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16137/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 12

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": "1496016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496016000000",
    "number": "1639607153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVENUE OF THE EST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308984",
            "telephone_number": "585-704-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & PAIN ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-29",
        "last_updated": "2017-05-29",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "585-704-3526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.