Organization Active NPI

Santos Interventional Pain Medicine, P.C.

  • Interventional Pain Medicine Physician
  • Kingman, AZ
National Provider Identifier
1164702197
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
44282 Issued in AZ
Legal business name
SANTOS INTERVENTIONAL PAIN MEDICINE, P.C.
Practice address
2501 Stockton Hill Rd
Suite 106
Kingman, AZ 86401-4140
Phone
(928) 718-7210
Fax
(928) 718-7216
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Crispino Santos Santos, M.D.NPI 1134128333
Title
President
Phone
(702) 434-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 44282 AZ Primary

Addresses

Primary practice location

2501 Stockton Hill Rd
Suite 106
Kingman, AZ 86401-4140

Mailing address

PO Box 33309
Las Vegas, NV 89133-3309
Phone (702) 434-7246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1164702197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33309",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333309",
            "telephone_number": "702-434-7246",
            "fax_number": "702-258-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 STOCKTON HILL RD",
            "address_2": "SUITE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-718-7210",
            "fax_number": "928-718-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS INTERVENTIONAL PAIN MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CRISPINO",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-434-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "44282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.