NPIMap

Organization Active NPI

Advanced Pain Management

  • Clinic/Center
  • Grover, MO
National Provider Identifier
1043612450
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVANCED PAIN MANAGEMENT
Practice address
16759 Main St
Suite 220
Grover, MO 63040-1232
Phone
(636) 273-6711
NPI assigned
Sep 17, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Julie Underwood
Title
Manager
Phone
(636) 273-6711

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pain Management SC (8 organizations share this tax ID)

Locations

16759 Main St
Ste 220
Wildwood, MO 63040
Phone (636) 273-6711

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

16759 Main St
Suite 220
Grover, MO 63040-1232

Mailing address

16759 Main St
Suite 220
Grover, MO 63040-1232

Other names 1

NPPES NPI Registry
  • National Medical Billing Services Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2014.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1043612450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16759 MAIN ST",
            "address_2": "SUITE 220",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16759 MAIN ST",
            "address_2": "SUITE 220",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401232",
            "telephone_number": "636-273-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-273-6711"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Medical Billing Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grover, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.