Organization Active NPI

Apollo Interventional Pain Center, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Durham, NC
National Provider Identifier
1063650265
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
9400473 Issued in NC
Legal business name
APOLLO INTERVENTIONAL PAIN CENTER, INC.
Practice address
6216 Fayetteville Rd Ste 104
Durham, NC 27713
Phone
(919) 806-1333
Fax
(919) 806-1335
NPI assigned
Jan 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Sunil Dogra, MD
Title
President
Phone
(919) 806-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 9400473 NC Primary

Addresses

Primary practice location

6216 Fayetteville Rd Ste 104
Durham, NC 27713

Mailing address

6216 Fayetteville Rd Ste 104
Durham, NC 27713-6287
Phone (919) 806-1333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1063650265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-806-1333",
            "fax_number": "919-806-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-806-1333",
            "fax_number": "919-806-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO INTERVENTIONAL PAIN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "DOGRA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-806-1333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "9400473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.