Active NPI
Conquestmd Spine Care and Sports Medicine, PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- McKinney, TX
National Provider Identifier
1497011043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- N2070
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ainsworth Farrell, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- McKinney, TX
- NPI 1346295920
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.