Regenerative Medicine Center of Texas, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

K5914 Issued in TX

Legal business name

REGENERATIVE MEDICINE CENTER OF TEXAS, PLLC

Practice address

3501 S Soncy Rd
Suite 1001
Amarillo, TX 79119-6407

Phone

(806) 367-8719

Fax

(806) 418-4329

NPI assigned

Sep 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Keith E Dyer, MDNPI 1366456394

Title

Director

Phone

(806) 433-6633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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.

• Keith Elliott Dyer, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Amarillo, TX
  • NPI 1366456394
  Medicare reassignment Authorized official
• Stanton C. Packard, M.D.

  • Family Medicine Physician
  • Pasadena, TX
  • NPI 1902902257
  Medicare reassignment NPD
• Abigail Edith Pitt, AGNP-C

  • Adult Health Nurse Practitioner
  • Amarillo, TX
  • NPI 1710475090
  Medicare reassignment NPD

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1467888420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 1001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-367-8719",
            "fax_number": "806-418-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "SUITE 1001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196407",
            "telephone_number": "806-367-8719",
            "fax_number": "806-418-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE MEDICINE CENTER OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-433-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "K5914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regen RX PLLC
• Regence Health Network Inc
• Regence Health Network Inc
• Regence Health Network, Inc.
• Regence Health Network, Inc.
• Region 16 Education Service Center
• Rehabilitation Hospital of Amarillo Inc (Amarillo Rehabilitation Hospital)
• James Franklin Reid, M.D.
• Katy Frances Reid, FNP-C
• Leo Reid, MA, LPC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.