Organization Active NPI

Denovo Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Charleston, SC
National Provider Identifier
1336756907
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DENOVO PAIN MANAGEMENT, LLC
Practice address
1012 Physicians Dr Ste 102
Charleston, SC 29414-5719
Phone
(843) 459-2906
Fax
(843) 789-4994
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. David Arcella, MD
Title
President
Phone
(213) 280-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1012 Physicians Dr Ste 102
Charleston, SC 29414-5719

Mailing address

104 Island Park Dr
Daniel Island, SC 29492-8350
Phone (213) 280-6332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1336756907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ISLAND PARK DR",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928350",
            "telephone_number": "213-280-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 PHYSICIANS DR STE 102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145719",
            "telephone_number": "843-459-2906",
            "fax_number": "843-789-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENOVO PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ARCELLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-280-6332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.