Organization Active NPI

Spine Injury Clinics

  • Chiropractor
  • Plano, TX
National Provider Identifier
1730191032
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8744 Issued in TX
Legal business name
SPINE INJURY CLINICS
Practice address
6853 Coit Rd Ste 200
Plano, TX 75024-5466
Phone
(972) 208-0101
Fax
(972) 208-0100
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Andrew A Skolnik, DC
Title
Owner
Phone
(972) 208-0101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8744 TX Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

6853 Coit Rd Ste 200
Plano, TX 75024-5466

Mailing address

6853 Coit Rd Ste 200
Plano, TX 75024-5466
Phone (972) 208-0101

Other practice location 1

7802 Spring Valley Rd
Dallas, TX 75254-2842
Phone (972) 690-0040

Other identifiers 3

IdentifierTypeStateIssuer
8R8170OtherTXBCBS
0044MGOtherTXBCBS
1730191032MedicaidTX

Other names 1

  • ANDREW SKOLNIK Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@spineinjuryclincs.com Direct

National Provider Directory

National Provider Directory

Locations

7802 Spring Valley Rd
Dallas, TX 75254
Phone (972) 690-0040

6853 Coit Rd
Ste 200
Plano, TX 75024
Phone (972) 208-0101

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1730191032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 COIT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245466",
            "telephone_number": "972-208-0101",
            "fax_number": "972-208-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 COIT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245466",
            "telephone_number": "972-208-0101",
            "fax_number": "972-208-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7802 Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752542842",
            "country_code": "US",
            "telephone_number": "972-690-0040",
            "fax_number": "972-239-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE INJURY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "SKOLNIK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-208-0101",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8744",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R8170",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0044MG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730191032",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@spineinjuryclincs.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6853 Coit Rd Ste 200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750245466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ANDREW SKOLNIK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANDREW SKOLNIK",
            "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 May 19, 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.