SPINE AND SPORTS MEDICINE INC
SPINE AND SPORTS MEDICINE INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073677845, based in West Valley City, UT. The organization lists 3 taxonomy classifications, with Interventional Pain Medicine Physician recorded as primary.
Getting there
The practice address on file is 3336 PIONEER PKWY SUITE 204, West Valley City, UT 84120. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 6053003-1204 | UT | Interventional Pain Medicine Physician primary |
| 6053003-1204 | UT | Sports Medicine (Neuromusculoskeletal… |
| 185699 | UT | Pain Medicine (Physical Medicine &… |
This provider holds licence 6053003-1204 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Interventional Pain Medicine covers
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. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 6053003-1204 | UT | primary |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 6053003-1204 | UT | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 185699 | UT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073677845 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 19, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
3336 PIONEER PKWY SUITE 204 West Valley City, UT 84120 (801) 964-3249 |
| Mailing address |
3065 OAK RIM LN Park City, UT 84060 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 6 | 7 | 7 | 8 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 3 | 7 | 5 | 8 | 8 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.