Organization Active NPI

Medical Pain Solutions

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023468105
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL PAIN SOLUTIONS
Practice address
15640 N 7TH St
#A3
Phoenix, AZ 85022-3512
Phone
(602) 298-6750
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Tracy Steven Van Laecken, D.C.NPI 1184671331
Title
President
Phone
(602) 298-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AZ Primary

Addresses

Primary practice location

15640 N 7TH St
#A3
Phoenix, AZ 85022-3512

Mailing address

15640 N 7TH St
#A3
Phoenix, AZ 85022-3512
Phone (602) 298-6750

National Provider Directory

National Provider Directory

Locations

15640 N 7th St
Ste A3
Phoenix, AZ 85022
Phone (602) 298-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1023468105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "#A3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-298-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15640 N 7TH ST",
            "address_2": "#A3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223512",
            "telephone_number": "602-298-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PAIN SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "VAN LAECKEN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-298-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "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 Jun 20, 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.