NPIMap

Organization Active NPI

Prime Medical Pain Management Center

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1487022323
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PRIME MEDICAL PAIN MANAGEMENT CENTER
Practice address
4527 N 27TH Ave
Phoenix, AZ 85017-3702
Phone
(602) 300-4754
Fax
(602) 249-1614
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Roger Baker, DC
Title
Owner
Phone
(602) 300-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4527 N 27TH Ave
Phoenix, AZ 85017-3702

Mailing address

4527 N 27TH Ave
Phoenix, AZ 85017-3702
Phone (602) 300-4754

National Provider Directory

National Provider Directory
Tax ID family
Prime Medical Pain Management Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1487022323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-300-4754",
            "fax_number": "602-249-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173702",
            "telephone_number": "602-300-4754",
            "fax_number": "602-249-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-300-4754",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.