Greater Dallas Pain Institute PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

P9087 Issued in TX

Legal business name

GREATER DALLAS PAIN INSTITUTE PLLC

Practice address

7300 Eldorado Pkwy Ste 255
McKinney, TX 75070

Phone

(972) 816-0421

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Diana M Hill

Title

Credentialing Specialist

Phone

(972) 816-0421

Specialties & licenses 3

Addresses

Other names 1

• DFW INTERVENTIONAL PAIN INSTITUTE Doing business as

Locations

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1043702111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 BIG RIVER DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563778",
            "telephone_number": "972-816-0421",
            "fax_number": "972-370-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY STE 255",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "972-816-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DALLAS PAIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-816-0421",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P9087",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "P9087",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P9087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW INTERVENTIONAL PAIN INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grand Assisted Living
• Caden Paige Gravley
• Alexis Gray
• Amanda Nicole Gray, PH.D., LP, LSSP
• Great Dialysis LLC
• Greater Lewisville Therapy Center Inc
• Matthew Nelson Green, M.D.
• Molly Jule Green, RBT
• Robert Lee Green Jr., RN
• Sara Green, RPH

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.