Organization Active NPI

Equinox Spine PA

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
National Provider Identifier
1649697335
Registry record updated Mar 20, 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
EQUINOX SPINE PA
Practice address
7712 San Jacinto PL
Suite 200
Plano, TX 75024-3257
Phone
(972) 707-0005
Fax
(888) 992-6199
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X N7365 TX Primary

Addresses

Primary practice location

7712 San Jacinto PL
Suite 200
Plano, TX 75024-3257

Mailing address

7712 San Jacinto PL
Suite 200
Plano, TX 75024-3257
Phone (972) 707-0005

National Provider Directory

National Provider Directory
Tax ID family
Equinox Spine PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1649697335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 SAN JACINTO PL",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243257",
            "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 PL",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243257",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX SPINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "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": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N7365",
            "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 Mar 20, 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.