Organization Active NPI

Principle Spine and Joint Institute

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1871008961
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
776968 Issued in TX
Legal business name
PRINCIPLE SPINE AND JOINT INSTITUTE
Practice address
16840 Buccaneer LN Ste J
Houston, TX 77058-2507
Phone
(832) 932-5968
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Dr. James Monroe Dieter III, DC, NP-C
Title
General Manager
Phone
(832) 932-5968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 776968 TX Primary

Addresses

Primary practice location

16840 Buccaneer LN Ste J
Houston, TX 77058-2507

Mailing address

16840 Buccaneer LN Ste J
Houston, TX 77058-2507
Phone (832) 932-5968

Other identifiers 1

IdentifierTypeStateIssuer
1114159142OtherTXNPI

National Provider Directory

National Provider Directory

Locations

16840 Buccaneer Ln
Ste J
Houston, TX 77058
Phone (832) 932-5968

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1871008961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "832-932-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582507",
            "telephone_number": "832-932-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE SPINE AND JOINT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "DIETER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "832-932-5968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC, NP-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "776968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114159142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.