Active NPI
Iconiq Spine & Orthopaedic Center PLLC
- Durable Medical Equipment & Medical Supplies
- Plano, TX
National Provider Identifier
1811733348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ICONIQ SPINE & ORTHOPAEDIC CENTER PLLC
- Practice address
- 5655 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4175 - Phone
- (469) 444-7246
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trung Van Ha
- Title
- Authorized Official
- Phone
- (469) 444-7246
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5655 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4175
Mailing address
4441 W Airport Fwy Ste 215
Irving, TX 75062-5959
Phone (469) 444-7246
Other names 1
- HOLISTIQ SPINE & ORTHOPAEDIC CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Holistiq Spine Orthopaedic Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Arlington, TX
- NPI 1265278790
-
- Durable Medical Equipment & Medical Supplies
- Fort Worth, TX
- NPI 1982440426
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Irving, TX
- NPI 1780936971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719964800000",
"number": "1811733348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 W AIRPORT FWY STE 215",
"city": "IRVING",
"state": "TX",
"postal_code": "750625959",
"telephone_number": "469-444-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5655 W SPRING CREEK PKWY STE 115",
"city": "PLANO",
"state": "TX",
"postal_code": "750244175",
"telephone_number": "469-444-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICONIQ SPINE & ORTHOPAEDIC CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "TRUNG",
"authorized_official_middle_name": "VAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "469-444-7246"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HOLISTIQ SPINE & ORTHOPAEDIC CLINIC",
"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 Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.