{
"Npi": {
"NPI": "1700607991",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TEXAS SPINE CONSULTANTS, LLP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "17051 DALLAS PKWY STE 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ADDISON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75001-7108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-370-3535",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5757 WARREN PKWY STE 180",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRISCO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75034-4548",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-370-3535",
"PracticeLocationAddressFaxNumber": "214-370-0004",
"EnumerationDate": "10/21/2024",
"LastUpdateDate": "10/21/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCALPIN",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "BILLING MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "214-668-8575",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207XS0117X",
"TaxonomyName": "Orthopaedic Surgery of the Spine Physician",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}