Organization Active NPI

Neurosurgery & Spine Inc

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1700093879
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
344599-1205 Issued in UT
Legal business name
NEUROSURGERY & SPINE INC
Practice address
1220 E 3900 S Ste 4E
Salt Lake City, UT 84124-1343
Phone
(801) 261-8507
Fax
(801) 261-8511
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. James C Pingree, MD
Title
President Ceo
Phone
(801) 261-8507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 344599-1205 UT Primary

Addresses

Primary practice location

1220 E 3900 S Ste 4E
Salt Lake City, UT 84124-1343

Mailing address

1220 E 3900 S Ste 4E
Salt Lake City, UT 84124-1343
Phone (801) 261-8507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1700093879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241343",
            "telephone_number": "801-261-8507",
            "fax_number": "801-261-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241343",
            "telephone_number": "801-261-8507",
            "fax_number": "801-261-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY & SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "PINGREE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "801-261-8507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "344599-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.