Organization Active NPI

Southwest Pain Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1144842485
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SOUTHWEST PAIN SOLUTIONS, LLC
Doing business as
SOUTHWEST PAIN SOLUTIONS
Practice address
1940 E Thunderbird Rd Ste 103
Phoenix, AZ 85022-5760
Phone
(480) 478-0790
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Christopher Ray, MD
Title
President
Phone
(623) 293-3985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1940 E Thunderbird Rd Ste 103
Phoenix, AZ 85022-5760

Mailing address

6401 E Caron Dr
Paradise Valley, AZ 85253-1862
Phone (623) 293-3985

Other names 1

  • SOUTHWEST PAIN SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1144842485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 E CARON DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531862",
            "telephone_number": "623-293-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E THUNDERBIRD RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225760",
            "telephone_number": "480-478-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PAIN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-293-3985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST PAIN SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHWEST PAIN SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.