Dallas Spine Care PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

DALLAS SPINE CARE PA

Practice address

9080 Harry Hines Blvd
Suite 210
Dallas, TX 75235-1720

Phone

(214) 688-0078

NPI assigned

Aug 3, 2006

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert J Henderson, M.D.NPI 1679581979

Title

Medical Director

Phone

(214) 688-0078

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Robert J Henderson, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1679581979
  Authorized official Same address or phone
• Benjamin John Cunningham, MD

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1568452084
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1730197286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 JOHN W CARPENTER FWY",
            "address_2": "PMB #8",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474827",
            "telephone_number": "214-688-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 HARRY HINES BLVD",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351720",
            "telephone_number": "214-688-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SPINE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-688-0078",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "C1011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Sleep Medicine Specialists, PLLC
• Dallas Smiles & Co PLLC
• Dallas Smiles, PLLC (All Smiles Dental & Orthodontics)
• Dallas Smiles, PLLC
• Dallas Spinal Rehabilitation Center, Inc.
• Dallas Staffing, Inc. (MedTex Staffing)
• Dallas Surgi Center, Inc.
• Dallas Surgical Partners, LLC (Physicians DaySurgery Center)
• Dallas Surgical Partners, LLC (Baylor Scott & White Surgicare)
• Dallas Testing, Inc.

• Medical Specialty Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.