Cactus Pain Relief, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CACTUS PAIN RELIEF, LLC

Practice address

20255 N Lake Pleasant Rd Ste 102
Peoria, AZ 85382-9747

Phone

(623) 225-7154

Fax

(623) 376-8225

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Brandon Kulp

Title

Owner

Phone

(623) 225-7154

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1366049025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747",
            "telephone_number": "623-225-7154",
            "fax_number": "623-376-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747",
            "telephone_number": "623-225-7154",
            "fax_number": "623-376-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS PAIN RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-225-7154"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cactus Chiropractic Clinic LLC
• Cactus Chiropractic LLC
• Cactus Dental Care LLC
• Cactus Dental, LLC
• Cactus Medical Center LLC
• Cactus Pain Solutions, LLC
• Ferran Caldwell
• Ryan A Call, DMD
• Victoria Calleja
• Lorna Ophelia Callender, RN REGISTERED NURSE

• Pain Medicine (Anesthesiology) Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.