Spine Physicians Institute Professional Association

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

N6010 Issued in TX

Legal business name

SPINE PHYSICIANS INSTITUTE PROFESSIONAL ASSOCIATION

Practice address

3450 Forest LN Ste 200
Dallas, TX 75234-7714

Phone

(972) 741-7189

Fax

(214) 614-1448

NPI assigned

May 26, 2011

Organization subpart

No

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

Authorized official

Name

Christy Jenkins

Title

Practice Administrator

Phone

(972) 741-7189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkat Sethuraman, M.D

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
  • NPI 1659378305
  Medicare reassignment NPD
• Juliana McElroy, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1053952200
  Medicare reassignment

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1689967424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347714",
            "telephone_number": "972-741-7189",
            "fax_number": "214-614-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FOREST LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347714",
            "telephone_number": "972-741-7189",
            "fax_number": "214-614-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE PHYSICIANS INSTITUTE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-741-7189"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Evolution Chiropractic
• Spinalworks Medical Group, PLLC
• Spinalworks, PLLC
• Spine Health Network PLLC
• Spine Institute of Texas, PLLC
• Spine Science LLC
• Spine Surgery Providers LLC
• Spine Vue, PLLC
• Spinesxassist
• Lauryn Elizabeth Spinetta

• Orthopaedic Surgery of the Spine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.