Organization Active NPI

Pain Clinic, PLLC

  • Pain Clinic/Center
  • Wilmington, NC
National Provider Identifier
1326376930
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PAIN CLINIC, PLLC
Practice address
1201 S 16TH St
Suite C
Wilmington, NC 28401-6419
Phone
(910) 547-3484
Fax
(910) 547-3484
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Dr. G. David Dyer, M,D.
Title
Medical Director
Phone
(910) 547-3484

Specialties & licenses 1

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

Addresses

Primary practice location

1201 S 16TH St
Suite C
Wilmington, NC 28401-6419

Mailing address

1201 S 16TH St
Suite C
Wilmington, NC 28401-6419
Phone (910) 547-3484

National Provider Directory

National Provider Directory

Locations

800 Shipyard Blvd
Ste 9
Wilmington, NC 28412
Phone (910) 796-7883

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1326376930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 16TH ST",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016419",
            "telephone_number": "910-547-3484",
            "fax_number": "910-547-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 16TH ST",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016419",
            "telephone_number": "910-547-3484",
            "fax_number": "910-547-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "910-547-3484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.