Organization Active NPI

Pairadox Plus, LLC

Doing business as Modern Pain Institute

  • General Practice Physician
  • Gilbert, AZ
National Provider Identifier
1417652041
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PAIRADOX PLUS, LLC
Doing business as
Modern Pain Institute
Practice address
3303 S Lindsay Rd Ste 104
Gilbert, AZ 85297-1504
Phone
(480) 863-6113
Fax
(480) 863-6443
NPI assigned
Apr 3, 2023
Last updated
Jan 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
David Delatte, MDNPI 1215226287
Title
Owner
Phone
(646) 468-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3303 S Lindsay Rd Ste 104
Gilbert, AZ 85297-1504

Mailing address

3303 S Lindsay Rd Ste 104
Gilbert, AZ 85297-1504
Phone (480) 863-6113

Other names 1

  • Modern Pain Institute Doing business as

National Provider Directory

National Provider Directory

Locations

3303 S Lindsay Rd
Ste 104
Gilbert, AZ 85297
Phone (480) 863-6113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1417652041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971504",
            "telephone_number": "480-863-6113",
            "fax_number": "480-863-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971504",
            "telephone_number": "480-863-6113",
            "fax_number": "480-863-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIRADOX PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "DELATTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-468-6484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.