Organization Active NPI

Pain Management Physicians of Dallas PLLC

Doing business as Dallas Pain Consultants

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1184943128
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC
Doing business as
Dallas Pain Consultants
Practice address
1411 N. Beckley Ave.
Pav. III, Suite #152
Dallas, TX 75203
Phone
(214) 948-7700
Fax
(214) 948-7701
NPI assigned
May 28, 2010
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Kerry Sheehan
Title
Practice Administrator
Phone
(214) 948-7700

Specialties & licenses 1

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

Addresses

Primary practice location

1411 N. Beckley Ave.
Pav. III, Suite #152
Dallas, TX 75203

Mailing address

1411 N. Beckley Ave.
Suite 152
Dallas, TX 75203
Phone (214) 948-7700

Other names 1

  • Dallas Pain Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100728001093 TX Part B Supplier - Clinic/Group Practice 5395878268 Receives reassigned benefits from 6 practitioners
Practice locations: Dallas, TX
O20110516000025 TX DME Supplier - Physician - General PracticeDME Supplier - Physician - Interventional Pain Management 5395878268 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2016038Dallas Pain Consultants1411 N Beckley Ave Pavillion III Suite 152, Dallas, TX 75203Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

1411 N Beckley Ave
Dallas, TX 75203
Phone (214) 947-4699

Practitioners & affiliated clinicians

Practitioners 7

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1184943128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N. BECKLEY AVE.",
            "address_2": "SUITE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N. BECKLEY AVE.",
            "address_2": "PAV. III, SUITE #152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-948-7700"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.