Organization Active NPI

Pinkerton Pain Therapy, LLC

  • Interventional Pain Medicine Physician
  • Lenexa, KS
National Provider Identifier
1053499228
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0431141 Issued in KS
Legal business name
PINKERTON PAIN THERAPY, LLC
Practice address
13000 W 87TH Street Pkwy
Suite 103
Lenexa, KS 66215-4634
Phone
(913) 981-0830
Fax
(913) 981-0831
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Dr. Mark C Pinkerton, MD
Title
Office Manager
Phone
(417) 291-4321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 0431141 KS
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 0431141 KS Primary

Addresses

Primary practice location

13000 W 87TH Street Pkwy
Suite 103
Lenexa, KS 66215-4634

Mailing address

13000 W 87TH Street Pkwy
Suite 103
Lenexa, KS 66215-4634
Phone (913) 981-0830

National Provider Directory

National Provider Directory

Locations

10940 Parallel Pkwy
Ste K174
Kansas City, KS 66109

8700 Monrovia St
Ste 301
Lenexa, KS 66215

13000 W 87th Street Pkwy
Lenexa, KS 66215
Phone (913) 444-9099

3126 Wisconsin Ave
Joplin, MO 64804
Phone (417) 291-4321

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1053499228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 W 87TH STREET PKWY",
            "address_2": "SUITE 103",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154634",
            "telephone_number": "913-981-0830",
            "fax_number": "913-981-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 W 87TH STREET PKWY",
            "address_2": "SUITE 103",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154634",
            "telephone_number": "913-981-0830",
            "fax_number": "913-981-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKERTON PAIN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-291-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0431141",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KS",
            "license": "0431141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.