Organization Active NPI

The Spine Institute PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
National Provider Identifier
1740352947
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
THE SPINE INSTITUTE PC
Practice address
13431 Old Meridian St Ste 200
Carmel, IN 46032-1498
Phone
(317) 573-7733
Fax
(317) 573-7739
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Kimberly L Cecil
Title
Office Manager
Phone
(317) 573-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

13431 Old Meridian St Ste 200
Carmel, IN 46032-1498

Mailing address

13431 Old Meridian St Ste 200
Carmel, IN 46032-1498
Phone (317) 573-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050817000060 IN Part B Supplier - Clinic/Group Practice 4284664517 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20100930057444 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4284664517 Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1740352947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321498",
            "telephone_number": "317-573-7733",
            "fax_number": "317-573-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 OLD MERIDIAN ST STE 200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321498",
            "telephone_number": "317-573-7733",
            "fax_number": "317-573-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-573-7733"
    },
    "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 Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.