Dale Wayne Flewelling, NP-C

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

1417912700 Issued in AZ

Practice address

9305 W Thomas Rd Ste 500
Phoenix, AZ 85037-3354

Phone

(623) 792-1600

Fax

(602) 464-7427

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Pain and SpineGroup PAC ID 3870992647, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Canyon Pain and Spine

  • Pain Medicine Physician
  • Mesa, AZ
  • NPI 1518547769

  Interventional Pain Medicine

  Medicare reassignment Care Compare group NPD
• Canyon Pain and Spine

  • Durable Medical Equipment & Medical Supplies
  • Buckeye, AZ
  • NPI 1467292938

  Interventional Pain Medicine

  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1417912700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373354",
            "telephone_number": "623-792-1600",
            "fax_number": "602-464-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373354",
            "telephone_number": "623-792-1600",
            "fax_number": "602-464-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEWELLING",
        "first_name": "DALE",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "1417912700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dale.flewelling@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9305 W Thomas Rd Ste 500",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850373354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dale.flewelling@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "9305 W Thomas Rd Ste 500",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850373354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Fletcher, DO
• Lorena B. Fletcher, RN
• Ursula Denise Fletcher, RN
• Kristen Ann Fleury, FNP
• Molly Jo Fleury, PHARMD
• Flint Physiotherapy
• Christiana Ruth Flint, LPC
• Christina Ann Flint, M.S. IFN, CHC
• Dymon Flint
• Jamie Flint, PT, DPT

• Interventional Pain Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.