Equinox Spine PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

N7365 Issued in TX

Legal business name

EQUINOX SPINE PA

Practice address

3160 North Tarrant Parkway
Fort Worth, TX 76177

Phone

(972) 707-0005

Fax

(888) 992-6199

NPI assigned

Aug 1, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Valente, D.O.NPI 1194930453

Title

President

Phone

(214) 384-1642

Specialties & licenses 3

Addresses

Tax ID family

Equinox Spine PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Equinox Spine PA

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1316378367
  NPD tax ID
• Equinox Spine PA

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1649697335
  NPD tax ID

Practitioners 1

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.

• Mark Charlie Valente, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1194930453
  NPD (past) Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1992113088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 SAN JACINTO PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243257",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 NORTH TARRANT PARKWAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "972-707-0005",
            "fax_number": "888-992-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOX SPINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "VALENTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-384-1642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "N7365",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "K8470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Epping, M.D.
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• Nichole Eral, LCSW

• Orthopaedic Surgery of the Spine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.