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
- Last updated
- Aug 10, 2020
- 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 DirectoryLocations
2600 Alemeda St
Fort Worth, TX 76108
Phone (305) 519-0857
561 N Graham St
Stephenville, TX 76401
Phone (254) 965-2663
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1649272840
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": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_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.