Organization Active NPI

Axis Pain Institute of North America

  • Durable Medical Equipment & Medical Supplies
  • Southlake, TX
National Provider Identifier
1013360999
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AXIS PAIN INSTITUTE OF NORTH AMERICA
Practice address
1209 Saint Emilion CT
Southlake, TX 76092-4617
Phone
(817) 502-7411
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. Saeid Aryan, DO
Title
Principal
Phone
(817) 502-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1209 Saint Emilion CT
Southlake, TX 76092-4617

Mailing address

PO Box 77202
Fort Worth, TX 76177-0202
Phone (817) 502-7411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1013360999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761770202",
            "telephone_number": "817-502-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SAINT EMILION CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924617",
            "telephone_number": "817-502-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS PAIN INSTITUTE OF NORTH AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "ARYAN",
        "authorized_official_first_name": "SAEID",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "817-502-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.