Active NPI
Spine Health Network PLLC
- Orthopaedic Surgery of the Spine Physician
- Dallas, TX
National Provider Identifier
1689241036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- SPINE HEALTH NETWORK PLLC
- Practice address
- 4715 Purdue Ave
Dallas, TX 75209-3221 - Phone
- (888) 957-7463
- NPI assigned
- Jun 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Lloyd
- Title
- Owner
- Phone
- (888) 957-7463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
4715 Purdue Ave
Dallas, TX 75209-3221
Mailing address
4715 Purdue Ave
Dallas, TX 75209-3221
National Provider Directory
National Provider DirectoryLocations
17051 Dallas Pkwy
Ste 500
Addison, TX 75001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622764800000",
"number": "1689241036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 PURDUE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752093221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 PURDUE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752093221",
"telephone_number": "888-957-7463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE HEALTH NETWORK PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-957-7463"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.