Active NPI
Integrative Pain and Wellness Medicine, PLLC
- Interventional Pain Medicine Physician
- Phoenix, AZ
National Provider Identifier
1023533817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- INTEGRATIVE PAIN AND WELLNESS MEDICINE, PLLC
- Practice address
- 5051 E Thomas Rd
Phoenix, AZ 85018-7912 - Phone
- (480) 473-7246
- Fax
- (480) 473-4942
- NPI assigned
- Aug 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bilal F. Shanti, MD
- Title
- Sole Member
- Phone
- (480) 473-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
5051 E Thomas Rd
Phoenix, AZ 85018-7912
Mailing address
4400 N Scottsdale Rd # 9717
Scottsdale, AZ 85251-3331
Phone (480) 473-7246
Other practice location 1
1695 W 24th St
Yuma, AZ 85364-6205
Phone (928) 783-3445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Scottsdale, AZ
- NPI 1568415792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1023533817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N SCOTTSDALE RD # 9717",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513331",
"telephone_number": "480-473-7246",
"fax_number": "480-473-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5051 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187912",
"telephone_number": "480-473-7246",
"fax_number": "480-473-4942"
}
],
"practiceLocations": [
{
"address_1": "1695 W 24th St",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853646205",
"country_code": "US",
"telephone_number": "928-783-3445",
"fax_number": "928-783-4484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRATIVE PAIN AND WELLNESS MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-14",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "SHANTI",
"authorized_official_first_name": "BILAL",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "480-473-7246",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Integrated Wellness Center LLC
- Integrative Counseling L.L.C.
- Integrative Homeopathy, P.L.L.C.
- Integrative Mental Health Services LLC
- Integrative Natural Medicine
- Integrative Psychotherapy and Assessment Services
- Integrative Urology PLLC
- Integrative Wellness Solutions, PLLC
- Integrit Labs, LLC
- Integrity Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.