Phoenix Interventional Pain Management, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

52011 Issued in AZ

Legal business name

PHOENIX INTERVENTIONAL PAIN MANAGEMENT, PLLC

Practice address

3815 E Bell Rd Ste 3500a
Phoenix, AZ 85032

Phone

(623) 231-5595

Fax

(623) 231-5595

NPI assigned

Jul 4, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Dais, MD

Title

Owner

Phone

(623) 231-5595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1083100812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 W MORROW DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085742",
            "telephone_number": "623-363-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 3500A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "623-231-5595",
            "fax_number": "623-231-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6812 W Morrow Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085742",
            "country_code": "US",
            "telephone_number": "623-363-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX INTERVENTIONAL PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DAIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-231-5595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "52011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Infinity Group LLC (Flower of Life Hospice Care)
• Phoenix Institute of Cardiology
• Phoenix Institute of Footcare Physicans, PLC
• Phoenix Interfaith Counseling
• Phoenix Internal Medicine Group PLC
• Phoenix Jewish Community Kivel Nursing Home (Kivel Manor Assisted Living Center)
• Phoenix Kidney Specialists PLLC
• Phoenix Lab & Ancillary Services
• Phoenix Life Center Inc
• Phoenix Medical Collaborative LLC

• Pain Medicine (Anesthesiology) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.