NPIMap

Organization Active NPI

Dreiser Pain Management PLLC

  • Pain Clinic/Center
  • Bronx, NY
National Provider Identifier
1386940542
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
1857811 Issued in NY
Legal business name
DREISER PAIN MANAGEMENT PLLC
Practice address
145 Dreiser Loop
Bronx, NY 10475-2704
Phone
(347) 843-0900
Fax
(347) 843-0901
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Keiron W Greaves, M.D.
Title
President
Phone
(347) 843-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 1857811 NY Primary

Addresses

Primary practice location

145 Dreiser Loop
Bronx, NY 10475-2704

Mailing address

145 Dreiser Loop
Bronx, NY 10475-2704
Phone (347) 843-0900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1386940542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "347-843-0900",
            "fax_number": "347-843-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 DREISER LOOP",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752704",
            "telephone_number": "347-843-0900",
            "fax_number": "347-843-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREISER PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "GREAVES",
        "authorized_official_first_name": "KEIRON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-843-0900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "1857811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.