Active NPI
Santos Interventional Pain Medicine, P.C.
- Interventional Pain Medicine Physician
- Kingman, AZ
National Provider Identifier
1164702197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 44282
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1134128333
-
- Pain Medicine Physician
- Las Vegas, NV
- NPI 1821029760
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.