Organization Active NPI

Principal Pain and Spine Consultants, P. a.

  • Interventional Pain Medicine Physician
  • Carrollton, TX
National Provider Identifier
1235445073
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L9300 Issued in TX
Legal business name
PRINCIPAL PAIN AND SPINE CONSULTANTS, P. A.
Practice address
1809 Golden Trail CT
Suite 110
Carrollton, TX 75010-4665
Phone
(214) 497-7313
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Authorized official

Name
Paul Binu Kurian, DONPI 1942261672
Title
President/Owner
Phone
(972) 316-7270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X L9300 TX Primary

Addresses

Primary practice location

1809 Golden Trail CT
Suite 110
Carrollton, TX 75010-4665

Mailing address

1809 Golden Trail CT
Suite 110
Carrollton, TX 75010-4665
Phone (214) 497-7313

Other practice location 1

2625 Scripture St Ste 102
Denton, TX 76201-2304
Phone (940) 222-8943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000992 TX Part B Supplier - Clinic/Group Practice 1052593944 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX; Carrolton, TX

National Provider Directory

National Provider Directory

Locations

1809 Golden Trail Ct
Carrollton, TX 75010

2625 Scripture St
Denton, TX 76201

7150 Preston Rd
#3
Plano, TX 75024
Phone (972) 316-7270

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1235445073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 GOLDEN TRAIL CT",
            "address_2": "SUITE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104665",
            "telephone_number": "214-497-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GOLDEN TRAIL CT",
            "address_2": "SUITE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104665",
            "telephone_number": "214-497-7313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Scripture St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762012304",
            "country_code": "US",
            "telephone_number": "940-222-8943",
            "fax_number": "972-492-5345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCIPAL PAIN AND SPINE CONSULTANTS, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "KURIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BINU",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-316-7270",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L9300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.