OrganizationActive
Indiana Spine and Pain Center Inc
NPI 1265644397 · Medical Specialty Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1265644397
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Kingma, Owner/Physician(317) 577-1800
- License
- 01040487 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
8202 Clearvista Parkway
Suite 9 E
Indianapolis, IN 46256-1457
Phone: (317) 577-1800
Fax: (317) 577-1805
Approximate (ZIP-level) locationGet directions
Mailing address
8202 Clearvista Parkway
Indianapolis, IN 46256-1457
Other names (DBA / former)
- Former legal business name
- Indiana Laser Spine Center Inc
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2013-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.