Active NPI
Noble Pain Management and Sports Medicine PLLC
- Interventional Pain Medicine Physician
- Southlake, TX
National Provider Identifier
1144645995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC
- Practice address
- 431 E State Highway 114 Ste 120
Southlake, TX 76092-4416 - Phone
- (817) 518-1112
- Fax
- (817) 518-1113
- NPI assigned
- Mar 3, 2014
- 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
- Carolyn Tripp
- Title
- Practice Manager
- Phone
- (817) 518-1112
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Mailing address
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone (817) 518-1112
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1144645995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 E STATE HIGHWAY 114 STE 120",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924416",
"telephone_number": "817-518-1112",
"fax_number": "817-518-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 E STATE HIGHWAY 114 STE 120",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760924416",
"telephone_number": "817-518-1112",
"fax_number": "817-518-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE PAIN MANAGEMENT AND SPORTS MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-03",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "817-518-1112"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.