Organization Active NPI

Metropolitian Pain Center, LLC

  • Pain Clinic/Center
  • Grapevine, TX
National Provider Identifier
1184786311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
METROPOLITIAN PAIN CENTER, LLC
Practice address
2401 Ira E Woods Ave
Ste 600
Grapevine, TX 76051-3997
Phone
(972) 234-4740
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ted Grosebeck
Title
VP Operations
Phone
(469) 682-6747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

2401 Ira E Woods Ave
Ste 600
Grapevine, TX 76051-3997

Mailing address

PO Box 268931
Oklahoma City, OK 73126-8931
Phone (972) 479-1129

National Provider Directory

National Provider Directory
Tax ID family
Metropolitian Pain Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184786311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268931",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268931",
            "telephone_number": "972-479-1129",
            "fax_number": "972-479-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 IRA E WOODS AVE",
            "address_2": "STE 600",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513997",
            "telephone_number": "972-234-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITIAN PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSEBECK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "469-682-6747"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.