Organization Active NPI

Spine and Orthopedic Specialists of Arizona, PLCC

  • Orthopaedic Surgery of the Spine Physician
  • Scottsdale, AZ
National Provider Identifier
1902648322
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SPINE AND ORTHOPEDIC SPECIALISTS OF ARIZONA, PLCC
Practice address
17500 N Perimeter Dr
Scottsdale, AZ 85255-7800
Phone
(623) 624-4765
Fax
(623) 624-4766
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Robert Wells
Title
Sec
Phone
(623) 624-4767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

17500 N Perimeter Dr
Scottsdale, AZ 85255-7800

Mailing address

17500 N Perimeter Dr
Scottsdale, AZ 85255-7800
Phone (623) 624-4765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1902648322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "623-624-4765",
            "fax_number": "623-624-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "623-624-4765",
            "fax_number": "623-624-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC SPECIALISTS OF ARIZONA, PLCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "623-624-4767"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.