Organization Active NPI

Reliable Pain Management-Hollywood,Inc

  • Pain Clinic/Center
  • Hollywood, FL
National Provider Identifier
1225309305
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
RELIABLE PAIN MANAGEMENT-HOLLYWOOD,INC
Practice address
6495 Taft St
Hollywood, FL 33024-4110
Phone
(954) 961-8760
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Mrs. Kim Dawson
Title
Management
Phone
(954) 961-8760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

6495 Taft St
Hollywood, FL 33024-4110

Mailing address

6495 Taft St
Hollywood, FL 33024-4110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1225309305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244110",
            "telephone_number": "954-961-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE PAIN MANAGEMENT-HOLLYWOOD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "954-961-8760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.