Organization Active NPI

Conquestmd Spine Care and Sports Medicine, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McKinney, TX
National Provider Identifier
1497011043
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
N2070 Issued in TX
Legal business name
CONQUESTMD SPINE CARE AND SPORTS MEDICINE, PLLC
Practice address
6850 TPC Dr Ste 110
McKinney, TX 75070-3145
Phone
(214) 544-9887
Fax
(214) 544-9888
NPI assigned
Apr 9, 2012
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Ainsworth Farrell, M.D.NPI 1346295920
Title
Physician
Phone
(214) 544-9887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X N2070 TX Primary

Addresses

Primary practice location

6850 TPC Dr Ste 110
McKinney, TX 75070-3145

Mailing address

PO Box 2757
Frisco, TX 75034-0051
Phone (214) 544-9887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000346 TX Part B Supplier - Clinic/Group Practice 5799931531 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

6850 Tpc Dr
Ste 110
McKinney, TX 75070
Phone (214) 544-9887

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1497011043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051",
            "telephone_number": "214-544-9887",
            "fax_number": "214-544-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 TPC DR STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703145",
            "telephone_number": "214-544-9887",
            "fax_number": "214-544-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUESTMD SPINE CARE AND SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "AINSWORTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-544-9887",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "N2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.