NPIMap

Organization Active NPI

Bay State Spine & Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Milford, MA
National Provider Identifier
1427330950
Registry record updated Dec 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14220 Issued in MA
Legal business name
BAY STATE SPINE & PAIN CENTER LLC
Practice address
291 Main St
Milford, MA 01757-2526
Phone
(508) 634-2444
Fax
(508) 634-2999
NPI assigned
Sep 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2011

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

Authorized official

Name
Dr. Dirk A Johns, D.C.NPI 1407984669
Title
Owner
Phone
(508) 634-2444

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 14220 MA Primary

Addresses

Primary practice location

291 Main St
Milford, MA 01757-2526

Mailing address

291 Main St
Milford, MA 01757-2526
Phone (508) 634-2444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324166400000",
    "number": "1427330950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572526",
            "telephone_number": "508-634-2444",
            "fax_number": "508-634-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572526",
            "telephone_number": "508-634-2444",
            "fax_number": "508-634-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE SPINE & PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-11",
        "last_updated": "2011-12-18",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-634-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "14220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.