Organization Active NPI

Millennium Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1417018052
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
MILLENNIUM PAIN CENTER LLC
Practice address
13111 N Central Expy
Suite 150
Dallas, TX 75243-1138
Phone
(972) 239-2190
Fax
(972) 239-5214
NPI assigned
Dec 13, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Sandra Marsh
Title
President & Ceo
Phone
(310) 258-2400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Health Service Clinic/Center 261QH0100X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

13111 N Central Expy
Suite 150
Dallas, TX 75243-1138

Mailing address

13111 N Central Expy
Suite 150
Dallas, TX 75243-1138
Phone (972) 239-2190

National Provider Directory

National Provider Directory

Locations

13111 N Central Expy
Ste 150
Dallas, TX 75243
Phone (972) 239-2190

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417018052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 N CENTRAL EXPY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431138",
            "telephone_number": "972-239-2190",
            "fax_number": "972-239-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 N CENTRAL EXPY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431138",
            "telephone_number": "972-239-2190",
            "fax_number": "972-239-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-258-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.