NPIMap

Organization Active NPI

Infinity Pain Relief, LLC

  • General Practice Physician
  • Peoria, AZ
National Provider Identifier
1346867488
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INFINITY PAIN RELIEF, LLC
Practice address
8715 W Union Hills Dr Ste 109
Peoria, AZ 85382-3031
Phone
(623) 440-4244
NPI assigned
Jul 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Authorized official

Name
Brandon Geoffrey Kulp, DC
Title
Owner
Phone
(623) 440-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8715 W Union Hills Dr Ste 109
Peoria, AZ 85382-3031

Mailing address

8715 W Union Hills Dr Ste 109
Peoria, AZ 85382-3031
Phone (623) 440-4244

National Provider Directory

National Provider Directory

Locations

8715 W Union Hills Dr
Ste 109
Peoria, AZ 85382
Phone (623) 440-4244

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1346867488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR STE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823031",
            "telephone_number": "623-440-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR STE 109",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823031",
            "telephone_number": "623-440-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY PAIN RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "GEOFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-440-4244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.