Regen Pain Management

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

Q0953 Issued in TX

Legal business name

REGEN PAIN MANAGEMENT

Practice address

6957 W Plano Pkwy
Suite 2300
Plano, TX 75093-1620

Phone

(469) 252-7477

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr Jonathan C Koning, MD

Title

President

Phone

(469) 252-4777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1487186946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY",
            "address_2": "SUITE 2300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-252-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 W PLANO PKWY",
            "address_2": "SUITE 2300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750931620",
            "telephone_number": "469-252-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "KONING",
        "authorized_official_first_name": "DR JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-252-4777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "Q0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Reeves, BCBA,LBA
• Tashundra 310-856-0800 Reeves, NONE
• Venus Refahiyat
• Regal Medical Supplies
• John D Regan, DDS
• Regen Pain Management, PLLC
• Regen Pain Management, PLLC
• Regenerative Practitioners Group
• Regenerative Spine Pain & Wellness Institute PLLC
• Catherine Rose Regetz, M.S. CCC-SLP

• Pain Medicine (Anesthesiology) Physician in Plano, TX
• Providers in Plano, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.