Spine and Nerve Institute, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10023 Issued in TX

Legal business name

SPINE AND NERVE INSTITUTE, PA

Practice address

1301 North Beach Street
Fort Worth, TX 76111

Phone

(817) 831-3388

Fax

(817) 831-1541

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anis R Noorani, D.C.

Title

President

Phone

(817) 831-3388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beach Street Chiropractic and Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649377193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 NORTH BEACH STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-831-3388",
            "fax_number": "817-831-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NORTH BEACH STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-831-3388",
            "fax_number": "817-831-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND NERVE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOORANI",
        "authorized_official_first_name": "ANIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-831-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0085NT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Street Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren Spielman, DDS
• Simmone Marie Spielmann, MD
• Natalie Paige Spika
• Marlys Spikes, CNM
• Spinal Cord Monitoring Concepts LLC
• Spine Pain NM LLC
• Grace Victoria Spinks, PA-C
• Hayley Spinks, RD, LD
• Rubilene Spinks
• Timothy Shane Spinks, APRN, CRNA

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.