Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Indiana Spine and Pain Center Inc

Organization Medical Specialty Clinic/Center · NPI 1265644397

Indiana Spine and Pain Center Inc is a Medical Specialty Clinic/Center in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8202 Clearvista Pkwy Ste 9 E
Indianapolis, IN 46256-1457
Phone: (317) 577-1800
Fax: (317) 577-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 01040487A (IN)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 01040487 (IN)

Record details

NPI number1265644397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Kingma — Owner/Physician · (317) 577-1800
Other names Indiana Laser Spine Center Inc
NPI enumeratedMay 3, 2007
Last updated in NPPESFebruary 8, 2013
Mailing address8202 Clearvista Parkway, Suite 9 E, Indianapolis, IN 46256-1457

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