Cactus Pain Solutions, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CACTUS PAIN SOLUTIONS, LLC

Practice address

20255 N Lake Pleasant Rd Ste 102
Peoria, AZ 85382-9747

Phone

(623) 376-8225

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Brandon Kulp

Title

Owner

Phone

(623) 376-8225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1477199701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20255 N LAKE PLEASANT RD STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829747",
            "telephone_number": "623-376-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS PAIN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "KULP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-376-8225"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cactus Chiropractic LLC
• Cactus Dental Care LLC
• Cactus Dental, LLC
• Cactus Medical Center LLC
• Cactus Pain Relief, LLC
• Ferran Caldwell
• Ryan A Call, DMD
• Victoria Calleja
• Lorna Ophelia Callender, RN REGISTERED NURSE
• Calm Valley Homecare LLC

• General Practice Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.