Asclepius Pain Management, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

N4020 Issued in TX

Legal business name

ASCLEPIUS PAIN MANAGEMENT, PLLC

Practice address

7920 Belt Line Rd
120
Dallas, TX 75254-8145

Phone

(214) 221-2582

Fax

(214) 446-2323

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Igor Rakovchik, D.O.

Title

Director

Phone

(214) 221-2582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1477919686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836156",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750836156",
            "telephone_number": "214-974-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "214-221-2582",
            "fax_number": "214-446-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCLEPIUS PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "RAKOVCHIK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-221-2582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "N4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.