Organization Active NPI

Texas Interventional Joint and Spine, PLLC

Doing business as Northstar Joint and Spine

  • Pain Medicine (Anesthesiology) Physician
  • Plano, TX
National Provider Identifier
1649923228
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TEXAS INTERVENTIONAL JOINT AND SPINE, PLLC
Doing business as
Northstar Joint and Spine
Practice address
7704 San Jacinto PL Ste 200
Plano, TX 75024-3201
Phone
(469) 945-7966
Fax
(972) 695-3075
NPI assigned
Feb 2, 2022
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Authorized official

Name
Dr. Robert John Nocerini, MDNPI 1164451761
Title
Owner
Phone
(925) 389-0790

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 (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

7704 San Jacinto PL Ste 200
Plano, TX 75024-3201

Mailing address

7704 San Jacinto PL Ste 200
Plano, TX 75024-3201
Phone (469) 945-7966

Other names 1

  • Northstar Joint and Spine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308002583 TX Part B Supplier - Clinic/Group Practice 0345634309 Receives reassigned benefits from 1 practitioner
Practice locations: Denton, TX; Plano, TX

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
45D2259122Texas Interventional Joint & Spine, PLLC7704 San Jacinto PL Suite 200, Plano, TX 75024Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

7704 San Jacinto Pl
Ste 200
Plano, TX 75024
Phone (214) 733-7869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAAICD

Practitioners & affiliated clinicians

Practitioners 1

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1649923228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 SAN JACINTO PL STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243201",
            "telephone_number": "469-945-7966",
            "fax_number": "972-695-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 SAN JACINTO PL STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243201",
            "telephone_number": "469-945-7966",
            "fax_number": "972-695-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INTERVENTIONAL JOINT AND SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "NOCERINI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-389-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northstar Joint and Spine",
            "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 Feb 2, 2022; 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.