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SPINE AND PAIN REGENERATIVE MEDICINE
NPI 1114764107
Pain Medicine - Interventional Pain Medicine in Fairfax, VA

Active since July 09, 2024
10721 MAIN ST STE 304, FAIRFAX, VA 22030(703) 349-4205(703) 349-4205 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2024, Jul 9, 2024 (2 updates tracked since 2024).

About Spine And Pain Regenerative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE AND PAIN REGENERATIVE MEDICINE (NPI 1114764107) is a healthcare organization registered as an interventional pain medicine in Fairfax, Virginia and active in the NPI registry since July 2024. The organization lists David Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114764107
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSPINE AND SPORTS REGENERATIVE MEDICINE INSTITUTE
Location Address10721 MAIN ST STE 304Fairfax, VA 22030-6902
Mailing Address10721 Main St Ste 304Fairfax, VA 22030-6902 · (703) 349-4205 · Fax (703) 349-4205
Phone(703) 349-4205
Fax(703) 349-4205
Organization SubpartNo
Authorized OfficialDavid KimCeo · (703) 349-4205
Enumeration DateJuly 9, 2024
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1114764107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
10721 MAIN ST STE 304, Fairfax, VA 22030
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Other Names 1

Doing Business AsSpine And Pain Regenerative Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID KIM MD
Pain Medicine (Interventional Pain Medicine)
10721 MAIN ST STE 304
FAIRFAX, VA 22030
Fairfax City (703) 349-4205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine And Sports Regenerative Medicine Institute's NPI number?

The NPI number for Spine And Sports Regenerative Medicine Institute is 1114764107. It was assigned to this organization in the NPPES registry on July 9, 2024. The provider is doing business as Spine And Pain Regenerative Medicine.

Where is Spine And Sports Regenerative Medicine Institute located?

Spine And Sports Regenerative Medicine Institute is located at 10721 Main St Ste 304, Fairfax, VA 22030. The listed phone number is (703) 349-4205.

What is Spine And Sports Regenerative Medicine Institute's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Spine And Sports Regenerative Medicine Institute was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.