Organization Active NPI

Advanced Pain Clinic LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
National Provider Identifier
1194009225
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED PAIN CLINIC LLC
Practice address
33747 N Scottsdale Rd
Suite 135
Scottsdale, AZ 85266-1565
Phone
(480) 248-6160
Fax
(480) 284-4180
NPI assigned
Oct 7, 2011
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. William B. Cooper
Title
Owner
Phone
(480) 248-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

33747 N Scottsdale Rd
Suite 135
Scottsdale, AZ 85266-1565

Mailing address

33747 N Scottsdale Rd
Suite 135
Scottsdale, AZ 85266-1565
Phone (480) 248-6160

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, 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": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1194009225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33747 N SCOTTSDALE RD",
            "address_2": "SUITE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661565",
            "telephone_number": "480-248-6160",
            "fax_number": "480-284-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33747 N SCOTTSDALE RD",
            "address_2": "SUITE 135",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661565",
            "telephone_number": "480-248-6160",
            "fax_number": "480-284-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-248-6160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.