Phoenix Pain Clinic, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PHOENIX PAIN CLINIC, PLLC

Practice address

1110 N Buckner Blvd Ste 100
Dallas, TX 75218-3498

Phone

(214) 324-9400

Fax

(214) 324-9402

NPI assigned

Feb 27, 2012

Organization subpart

No

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

Authorized official

Name

Salvatore R Campo, DONPI 1134179385

Title

Physician/Member

Phone

(214) 324-9400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Salvatore R Campo, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1134179385
  Medicare reassignment NPD Authorized official
• Kenneth Ronald Dority, D.O.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1659313328
  Medicare reassignment NPD
• Jose A Duarte, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1720039274
  Medicare reassignment NPD

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1356615074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183498",
            "telephone_number": "214-324-9400",
            "fax_number": "214-324-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183498",
            "telephone_number": "214-324-9400",
            "fax_number": "214-324-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PAIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/MEMBER",
        "authorized_official_telephone_number": "214-324-9400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dang Pho, DMD
• Phoenix Anesthesia and Pain Management Group, PLLC
• Phoenix Associates Counseling Services Inc
• Phoenix Chiropractic Dallas
• Phoenix Houses of Texas, Inc
• Phoenix Thera-Lase Systems, LLC.
• Jill Annette Phoenix, CRNA
• Wendi Ellen Phoenix
• Cindy Phok
• Claire Phoneprasert

• Pain Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.