Preferred Pain Center Laveen, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREFERRED PAIN CENTER LAVEEN, LLC

Practice address

5045 W Baseline Rd
Laveen, AZ 85339-7392

Phone

(602) 507-6550

Fax

(602) 759-1741

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Greene, MD

Title

Ceo

Phone

(602) 507-6550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1154639813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 E CAMELBACK RD",
            "address_2": "SUITE 430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164325",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W BASELINE RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397392",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN CENTER LAVEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-507-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinky Castillo Dba
• Mareesa Plaisimond, PA-C
• Megan Zarina Ploss, DMD
• Shelia Rene Porter
• Preference Healthcare Group PLLC
• Premier Medical Transport of Arizona
• Premium Advisors
• George Prempeh
• Private Healthcare Facilities
• Progress Az LLC

• Specialist in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.