Organization Active NPI

Zeballos Healthcare

  • Interventional Pain Medicine Physician
  • Addison, TX
National Provider Identifier
1033362173
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ZEBALLOS HEALTHCARE
Practice address
17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105
Phone
(214) 888-3900
Fax
(214) 888-3901
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Pablo P Zeballos, DO
Title
President
Phone
(214) 345-5756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X TX Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 300
Addison, TX 75001-7105

Mailing address

12221 Merit Dr Ste 620
Dallas, TX 75251-3222
Phone (214) 506-2612

Other identifiers 2

IdentifierTypeStateIssuer
7083350001OtherTXNSC-DME
0081RXOtherTXBCBS

Other names 1

  • Interventional Spine and Pain Doing business as

National Provider Directory

National Provider Directory

Locations

8440 Walnut Hill Ln
Ste 400
Dallas, TX 75231
Phone (214) 345-1400

3500 Oak Lawn Ave
Ste 380
Dallas, TX 75219
Phone (972) 646-8346

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033362173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 620",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513222",
            "telephone_number": "214-506-2612",
            "fax_number": "972-681-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017105",
            "telephone_number": "214-888-3900",
            "fax_number": "214-888-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBALLOS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZEBALLOS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-345-5756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC-DME",
            "identifier": "7083350001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081RX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.