Active NPI
Pain Managment Medical Group Inc
- Health Service Clinic/Center
- Kansas City, MO
National Provider Identifier
1124410477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- PAIN MANAGMENT MEDICAL GROUP INC
- Practice address
- 4301 Main St # 205
Kansas City, MO 64111-7701 - Phone
- (816) 319-7601
- Fax
- (816) 319-7602
- NPI assigned
- Feb 24, 2015
- 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
- Viviana Pineda
- Title
- President
- Phone
- (816) 319-7601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MO | Primary |
Addresses
Primary practice location
4301 Main St # 205
Kansas City, MO 64111-7701
Mailing address
4301 Main St # 205
Kansas City, MO 64111-7701
Phone (816) 319-7601
National Provider Directory
National Provider DirectoryLocations
4301 Main St
#205
Kansas City, MO 64111
Phone (816) 319-7601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1124410477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 MAIN ST # 205",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641117701",
"telephone_number": "816-319-7601",
"fax_number": "816-319-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MAIN ST # 205",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641117701",
"telephone_number": "816-319-7601",
"fax_number": "816-319-7602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGMENT MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "PINEDA",
"authorized_official_first_name": "VIVIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-319-7601"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.