Organization Active NPI

Texas Pain & Spine Institute

  • Specialist
  • Amarillo, TX
National Provider Identifier
1881833200
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TEXAS PAIN & SPINE INSTITUTE
Practice address
24 Care Circle
Amarillo, TX 79124
Phone
(806) 353-6100
Fax
(806) 350-5979
NPI assigned
Feb 9, 2009
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Shayda Craddick
Title
Ceo/President
Phone
(806) 353-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TX Primary

Addresses

Primary practice location

24 Care Circle
Amarillo, TX 79124

Mailing address

24 Care Circle
Amarillo, TX 79124
Phone (806) 353-6100

Other identifiers 1

IdentifierTypeStateIssuer
TXB102314OtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000939 TX Part B Supplier - Clinic/Group Practice 7810028354 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1881833200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CARE CIRCLE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6100",
            "fax_number": "806-353-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CARE CIRCLE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6100",
            "fax_number": "806-350-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PAIN & SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "CRADDICK",
        "authorized_official_first_name": "SHAYDA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "806-353-6100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB102314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.