Organization Active NPI

Preferred Pain Center, LLC

  • Pain Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1548497159
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
PREFERRED PAIN CENTER, LLC
Practice address
10255 N 32ND St
Phoenix, AZ 85028-3851
Phone
(602) 507-6550
Fax
(602) 759-1741
NPI assigned
Jun 22, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Vicki Belt
Title
Manager/Member
Phone
(602) 507-6550

Specialties & licenses 1

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

Addresses

Primary practice location

10255 N 32ND St
Phoenix, AZ 85028-3851

Mailing address

PO Box 29661
Dept. # 2056
Phoenix, AZ 85038-9661
Phone (602) 507-6550

Other identifiers 1

IdentifierTypeStateIssuer
OTC4724OtherAZOTC LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1548497159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29661",
            "address_2": "DEPT. # 2056",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389661",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-507-6550",
            "fax_number": "602-759-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "BELT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "602-507-6550"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTC LICENSE",
            "identifier": "OTC4724",
            "state": "AZ"
        }
    ],
    "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 Dec 17, 2009; 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.