Organization Active NPI

Pain Managment Medical Group Inc

  • Health Service Clinic/Center
  • Kansas City, MO
National Provider Identifier
1124410477
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Feb 24, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.