Organization Active NPI

Star Pain & Spine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
National Provider Identifier
1154830289
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
N6319 Issued in TX
Legal business name
STAR PAIN & SPINE LLC
Practice address
4221 Medical Pkwy Ste 250
Carrollton, TX 75010-4543
Phone
(469) 925-3133
Fax
(972) 942-0102
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Dr. Gonzalo Gonzales Jr., D.O.
Title
Owner
Phone
(469) 925-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X N6319 TX Primary

Addresses

Primary practice location

4221 Medical Pkwy Ste 250
Carrollton, TX 75010-4543

Mailing address

4221 Medical Pkwy Ste 250
Carrollton, TX 75010-4543
Phone (469) 925-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171114000994 TX Part B Supplier - Clinic/Group Practice 4789940495 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Practitioners & 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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1154830289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104543",
            "telephone_number": "469-925-3133",
            "fax_number": "972-942-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104543",
            "telephone_number": "469-925-3133",
            "fax_number": "972-942-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PAIN & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-925-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.