North Central Texas Spine Institute

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

K1579 Issued in TX

Legal business name

NORTH CENTRAL TEXAS SPINE INSTITUTE

Practice address

729 W Bedford Euless Rd Ste 206
Hurst, TX 76053-3941

Phone

(817) 288-0084

Fax

(817) 445-1039

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Myles, MDNPI 1356349583

Title

Owner

Phone

(817) 288-0084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T Myles, MD

  • Orthopaedic Surgery Physician
  • Hurst, TX
  • NPI 1356349583

  Orthopaedic Surgery, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Dovie McVean, PA-C

  • Surgical Physician Assistant
  • Bedford, TX
  • NPI 1699784314

  TX

  Medicare reassignment Care Compare group
• Sungjin Park

  • Physician Assistant
  • Dallas, TX
  • NPI 1730546078

  TX

  Medicare reassignment

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1972799435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD EULESS RD STE 206",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533941",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD EULESS RD STE 206",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533941",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 L Don Dodson Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215788",
            "country_code": "US",
            "telephone_number": "817-288-0084",
            "fax_number": "817-445-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH CENTRAL TEXAS SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-288-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K1579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Gordon Nieman, L. P .C.
• Luis Nieves, M.D.
• Nightingale of Houston, Inc
• Nocona Hospital District
• Nordstrom Inc & Subsidiaries
• North East Texas Mid-Level Assist
• North East Texas Mid-Level Assist
• North Texas Family Care, PLLC
• Northeast Tarrant Dermatology, Inc
• Jerome Douglas Novotny Jr., M.D.

• Orthopaedic Surgery Physician in Hurst, TX
• Providers in Hurst, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.