Organization Active NPI

Pegasus Pain Management

  • Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1134577703
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PEGASUS PAIN MANAGEMENT
Practice address
8604 Greenville Ave
Ste 103a
Dallas, TX 75243-7148
Phone
(214) 702-5855
Fax
(877) 244-9193
NPI assigned
May 24, 2016
Organization subpart
Yes
Parent organization
PAARLMEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Alik Saidov, M.D.
Title
Owner
Phone
(214) 702-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

8604 Greenville Ave
Ste 103a
Dallas, TX 75243-7148

Mailing address

8604 Greenville Ave
Ste 103a
Dallas, TX 75243-7148
Phone (214) 702-5855

National Provider Directory

National Provider Directory

Locations

8604 Greenville Ave
Ste 103A
Dallas, TX 75243
Phone (214) 702-5855

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1134577703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 GREENVILLE AVE",
            "address_2": "STE 103A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437148",
            "telephone_number": "214-702-5855",
            "fax_number": "877-244-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 GREENVILLE AVE",
            "address_2": "STE 103A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437148",
            "telephone_number": "214-702-5855",
            "fax_number": "877-244-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS PAIN MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAARLMED",
        "enumeration_date": "2016-05-24",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "SAIDOV",
        "authorized_official_first_name": "ALIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-702-5855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.