Organization Active NPI

Pain Solutions of Arizona PLLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1013489350
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN SOLUTIONS OF ARIZONA PLLC
Practice address
9140 W Thomas Rd Ste B-106
Phoenix, AZ 85037-3378
Phone
(623) 939-1375
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

9140 W Thomas Rd
Ste B-106
Phoenix, AZ 85037
Phone (623) 428-0001

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1013489350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD STE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 W THOMAS RD STE B-106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373378",
            "telephone_number": "623-939-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS OF ARIZONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "TREVER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-628-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "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 Dec 27, 2018; 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.