Organization Active NPI

Integrated Pain Consultants, LLC

  • Interventional Pain Medicine Physician
  • Mesa, AZ
National Provider Identifier
1053824631
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
INTEGRATED PAIN CONSULTANTS, LLC
Practice address
4838 E Baseline Rd
BLDG 2 Suite 109
Mesa, AZ 85206-4671
Phone
(480) 626-2552
Fax
(480) 626-2551
NPI assigned
Nov 6, 2017
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED PAIN CONSULTANTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dr. Nikesh SethNPI 1922327030
Title
Ceo
Phone
(480) 626-2552

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)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

4838 E Baseline Rd
BLDG 2 Suite 109
Mesa, AZ 85206-4671

Mailing address

9500 E Ironwood Square Dr Ste 125
Scottsdale, AZ 85258-4582
Phone (480) 626-2552

National Provider Directory

National Provider Directory
Tax ID family
Integrated Pain Consultants3 organizations share this tax ID, including this one
Part of
Integrated Pain Consultants

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1053824631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD",
            "address_2": "BLDG 2 SUITE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064671",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN CONSULTANTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED PAIN CONSULTANTS, LLC",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "SETH",
        "authorized_official_first_name": "NIKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-626-2552",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.