Organization Active NPI

PC Pain Doctors, PLLC

  • Pain Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1124271861
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
2951 Issued in AZ
Legal business name
PC PAIN DOCTORS, PLLC
Practice address
1821 N Trekell Rd Ste A3
Casa Grande, AZ 85122-1705
Phone
(520) 421-0986
Fax
(520) 421-2009
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Jessica Haney
Title
Business Manager
Phone
(520) 421-0986

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Pain Clinic/Center 261QP3300X 2951 AZ Primary

Addresses

Primary practice location

1821 N Trekell Rd Ste A3
Casa Grande, AZ 85122-1705

Mailing address

1821 N Trekell Rd Ste A3
Casa Grande, AZ 85122-1705
Phone (520) 421-0986

National Provider Directory

National Provider Directory

Locations

1821 N Trekell Rd
#A3
Casa Grande, AZ 85122
Phone (520) 421-0986

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1124271861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE A3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-421-0986",
            "fax_number": "520-421-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE A3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-421-0986",
            "fax_number": "520-421-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC PAIN DOCTORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "520-421-0986"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AZ",
            "license": "2951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.