Active NPI
Pioneer Pain Specialists PLLC
- Pain Medicine Physician
- Gilbert, AZ
National Provider Identifier
1205420288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PIONEER PAIN SPECIALISTS PLLC
- Practice address
- 3011 S Lindsay Rd Ste 113
Gilbert, AZ 85295-4334 - Phone
- (480) 377-4360
- NPI assigned
- Feb 22, 2021
- 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
- Kendrick Thomas
- Title
- MD, Owner
- Phone
- (480) 377-4360
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | Primary | ||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
3011 S Lindsay Rd Ste 113
Gilbert, AZ 85295-4334
Mailing address
3011 S Lindsay Rd Ste 113
Gilbert, AZ 85295-4334
Phone (480) 377-4360
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613952000000",
"number": "1205420288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 S LINDSAY RD STE 113",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852954334",
"telephone_number": "480-377-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 S LINDSAY RD STE 113",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852954334",
"telephone_number": "480-377-4360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER PAIN SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "KENDRICK",
"authorized_official_title_or_position": "MD, OWNER",
"authorized_official_telephone_number": "480-377-4360"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.