Organization Active NPI

Spine Vue, PLLC

  • Orthopaedic Surgery Physician
  • Dallas, TX
National Provider Identifier
1790109734
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
P3361 Issued in TX
Legal business name
SPINE VUE, PLLC
Practice address
8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3816
Phone
(214) 452-7705
Fax
(214) 377-8831
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Dr. Sean Mawusi Jones-QuaidooNPI 1548473713
Title
Owner
Phone
(214) 452-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X P3361 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3816

Mailing address

8440 Walnut Hill LN Ste 230
Dallas, TX 75231-3816
Phone (214) 452-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140624000920 TX Part B Supplier - Clinic/Group Practice 1951525492 Receives reassigned benefits from 5 practitioners
Practice locations: Dallas, TX; Frisco, TX; Sherman, TX
O20140702000976 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1951525492 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

10300 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 651-0772

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8625/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1790109734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-452-7705",
            "fax_number": "214-377-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313816",
            "telephone_number": "214-452-7705",
            "fax_number": "214-377-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE VUE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "JONES-QUAIDOO",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MAWUSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-452-7705",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P3361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.