Active NPI
Plano Road Ambulatory Procedure Center, LLC
- Pain Clinic/Center
- Richardson, TX
National Provider Identifier
1215099445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PLANO ROAD AMBULATORY PROCEDURE CENTER, LLC
- Practice address
- 1778 N Plano Rd
Ste 300
Richardson, TX 75081 - Phone
- (972) 234-4740
- NPI assigned
- Dec 14, 2006
- 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
- Ted Grosebeck
- Title
- VP Operations
- Phone
- (469) 682-6742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
1778 N Plano Rd
Ste 300
Richardson, TX 75081
Mailing address
PO Box 268909
Oklahoma City, OK 73126-8909
Phone (972) 479-1129
National Provider Directory
National Provider DirectoryNPI 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": "1217980800000",
"number": "1215099445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268909",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268909",
"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": "1778 N PLANO RD",
"address_2": "STE 300",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75081",
"telephone_number": "972-234-4740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANO ROAD AMBULATORY PROCEDURE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "GROSEBECK",
"authorized_official_first_name": "TED",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "469-682-6742"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.