North Dallas Comprehensive Pain Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH DALLAS COMPREHENSIVE PAIN CENTER, LLC

Practice address

17110 Dallas Pkwy Ste 125
Dallas, TX 75248-1181

Phone

(972) 479-1115

Fax

(972) 346-8013

NPI assigned

Dec 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ted Groesbeck

Title

VP Operations

Phone

(469) 682-6742

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1003978222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268953",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268953",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY STE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481181",
            "telephone_number": "972-479-1115",
            "fax_number": "972-346-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS COMPREHENSIVE PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "GROESBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-682-6742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina Outpatient Services PC
• North Central Imaging LLC
• North Central Surgical Center L.L.P.
• North Dallas Behavioral Health
• North Dallas Chiropractic
• North Dallas Counseling, PLLC
• North Dallas Dental Associates
• North Dallas Dental Health PLLC
• North Dallas Dental Implants PLLC
• North Dallas Dentistry Associates, PC

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.