NPIMap

Organization Active NPI

West Valley Pain Solutions, LLC

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1013359165
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
WEST VALLEY PAIN SOLUTIONS, LLC
Practice address
9140 W Thomas Rd
Suite B-106
Phoenix, AZ 85037-3378
Phone
(623) 939-1375
Fax
(623) 388-6880
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Trever Jay Penny, D.C.
Title
Managing Member
Phone
(623) 628-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

9140 W Thomas Rd
Suite B-106
Phoenix, AZ 85037-3378

Mailing address

9140 W Thomas Rd
Suite B-106
Phoenix, AZ 85037-3378
Phone (623) 939-1375

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1013359165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD",
            "address_2": "SUITE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "623-939-1375",
            "fax_number": "623-388-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD",
            "address_2": "SUITE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "623-939-1375",
            "fax_number": "623-388-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY PAIN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "TREVER",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-628-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.