NPIMap

Organization Active NPI

Precision Addiction Medicine PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1144928037
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
PRECISION ADDICTION MEDICINE PLLC
Practice address
7400 Blanco Rd Ste 126
San Antonio, TX 78216-4361
Phone
(210) 627-4017
Fax
(210) 579-6873
NPI assigned
Feb 20, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Richard Paul Green III, LCDCNPI 1982208765
Title
Ceo
Phone
(210) 627-4017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X
Legal Medicine 173000000X
Addiction Medicine (Anesthesiology) Physician 207LA0401X
Case Management Agency 251B00000X
Genetics Clinic/Center 261QG0250X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Pain Clinic/Center 261QP3300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Research Clinic/Center 261QR1100X
Addiction Medicine (Preventive Medicine) Physician 2083A0300X Primary
Peer Specialist 175T00000X

Addresses

Primary practice location

7400 Blanco Rd Ste 126
San Antonio, TX 78216-4361

Mailing address

7400 Blanco Rd Ste 126
San Antonio, TX 78216-4361
Phone (210) 627-4017

Other identifiers 1

IdentifierTypeStateIssuer
32082447940OtherTXTEXAS TAX ID NUMBER

National Provider Directory

National Provider Directory

Locations

7400 Blanco Rd
Ste 126C
San Antonio, TX 78216

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1144928037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD STE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164361",
            "telephone_number": "210-627-4017",
            "fax_number": "210-579-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BLANCO RD STE 126",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164361",
            "telephone_number": "210-627-4017",
            "fax_number": "210-579-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ADDICTION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-627-4017",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS TAX ID NUMBER",
            "identifier": "32082447940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.