North Valley Pain Center PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTH VALLEY PAIN CENTER PLLC

Practice address

15650 N Black Canyon Hwy # B121
Phoenix, AZ 85053-4064

Phone

(602) 595-7228

Fax

(602) 391-2770

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Bangart, DPM

Title

Owner

Phone

(602) 595-7228

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1194292730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 W THUNDERBIRD ROAD",
            "address_2": "STE 1 BOX 606",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853816080",
            "telephone_number": "602-595-7228",
            "fax_number": "602-391-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY # B121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-595-7228",
            "fax_number": "602-391-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PAIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "BANGART",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-595-7228",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Valley Internal Medicine LLC
• North Valley Obstetrics and Gynecology
• North Valley Orthodontics PLLC
• North Valley Orthopedic Surgery Center LLC (The Orthopedic Surgery Center of Arizona)
• North Valley Outpatient Surgery Center
• North Valley Pediatric Therapy, LLC (Odyssey Autism ABA Therapy)
• North Valley Pediatrics PC
• North Valley Pharmacy LLC
• North Valley Physicians Group, LLC
• North Valley Podiatry LLC

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.