NPIMap

Organization Active NPI

Spinalytics of Texas Inc

  • Orthopaedic Surgery Physician
  • Addison, TX
National Provider Identifier
1669089660
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPINALYTICS OF TEXAS INC
Practice address
5080 Spectrum Dr Ste 1100E
Addison, TX 75001-4688
Phone
(214) 473-2479
NPI assigned
Sep 24, 2020
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Mr. Spencer Flanagin
Title
Director of Operations
Phone
(214) 473-2479

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Anesthesiology Physician 207L00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Neurology Physician 2084N0400X NU
Clinical Neurophysiology Physician 2084N0600X NU
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU
Electrodiagnostic Medicine Physician 204R00000X NU

Addresses

Primary practice location

5080 Spectrum Dr Ste 1100E
Addison, TX 75001-4688

Mailing address

5080 Spectrum Dr Ste 1100E
Addison, TX 75001-4688
Phone (214) 473-2479

National Provider Directory

National Provider Directory

Locations

5080 Spectrum Dr
Addison, TX 75001
Phone (844) 676-9374

Practitioners & affiliated clinicians

Practitioners 7

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1669089660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1100E",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014688",
            "telephone_number": "214-473-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1100E",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014688",
            "telephone_number": "214-473-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINALYTICS OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "FLANAGIN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "214-473-2479",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.