Organization Active NPI

Pain Management Physicians of Dallas PLLC

  • Interventional Pain Medicine Physician
  • Richardson, TX
National Provider Identifier
1104377092
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC
Doing business as
Dallas Pain Consultants
Practice address
399 W Campbell Rd Ste 302
Richardson, TX 75080-3620
Phone
(214) 948-7700
Fax
(214) 948-7701
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Kerry Sheehan
Title
Practice Administrator
Phone
(214) 948-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

399 W Campbell Rd Ste 302
Richardson, TX 75080-3620

Mailing address

1411 N Beckley Ave
Suite# 152
Dallas, TX 75203-1259
Phone (214) 948-7700

Other names 1

  • Dallas Pain Consultants Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2273566Dallas Pain Consultants399 W Campbell Rd Ste 302, Richardson, TX 75080Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

399 W Campbell Rd
Ste 302
Richardson, TX 75080
Phone 214948770045280

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1104377092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "SUITE# 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 W CAMPBELL RD STE 302",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803620",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-948-7700"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.