Active NPI
Bentree Pain Procedure Center
- Pain Clinic/Center
- Dallas, TX
National Provider Identifier
1073766432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- BENTREE PAIN PROCEDURE CENTER
- Practice address
- 17110 Dallas Pkwy
Suite 125
Dallas, TX 75248-1167 - Phone
- (972) 479-1115
- Fax
- (972) 479-1118
- NPI assigned
- Oct 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Webb
- Title
- Manager
- Phone
- (469) 362-6909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
17110 Dallas Pkwy
Suite 125
Dallas, TX 75248-1167
Mailing address
PO Box 268866
Oklahoma City, OK 73126-8866
Phone (972) 479-1115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1073766432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268866",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268866",
"telephone_number": "972-479-1115",
"fax_number": "972-479-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17110 DALLAS PKWY",
"address_2": "SUITE 125",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481167",
"telephone_number": "972-479-1115",
"fax_number": "972-479-1118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTREE PAIN PROCEDURE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "469-362-6909"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.