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NPI · 1114764107 · NPPES-sourced

Spine And Sports Regenerative Medicine Institute

ActivePain Medicine
NPI Number
1114764107
Type 2 · Organisation
Taxonomy Code
208VP0014X
Contact
(703) 349-4205
Primary practice line
Last Updated
Enumerated
Primary practice addressVA · 22030-6902
10721 Main St Ste 304Fairfax, VA 22030-6902
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About this NPIWhat this record shows.

NPI 1114764107 is registered to Spine And Sports Regenerative Medicine Institute, a healthcare organisation classified as "Pain Medicine" and located at 10721 Main St Ste 304 in Fairfax, Virginia. The organisation's authorised official is David Kim. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Spine And Sports Regenerative Medicine Institute accepts. To confirm in-network status with your specific health plan, contact Spine And Sports Regenerative Medicine Institute directly at (703) 349-4205.

Frequently asked

Yes. NPI 1114764107 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (703) 349-4205.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Spine And Sports Regenerative Medicine Institute is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208VP0014X
Last updated
Enumerated
StatusActive
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