Grapevine Pain Management, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GRAPEVINE PAIN MANAGEMENT, LLC

Practice address

2401 Ira E Woods Ave
Suite 700
Grapevine, TX 76051-3997

Phone

(817) 488-9991

Fax

(817) 488-9992

NPI assigned

Apr 29, 2009

Last updated

Jan 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gail S Mayfield

Title

President/Ceo

Phone

(817) 479-0800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1558505909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 RUFE SNOW DR",
            "address_2": "SUITE 108",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806163",
            "telephone_number": "817-479-0800",
            "fax_number": "817-479-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 IRA E WOODS AVE",
            "address_2": "SUITE 700",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513997",
            "telephone_number": "817-488-9991",
            "fax_number": "817-488-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "817-479-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grapevine Imaging & Pain Management Center LLC (Eclipse Imaging Pain Management Center-Grapevine)
• Grapevine Internal Medicine Centre
• Grapevine Interventional Pain Center, LLC
• Grapevine Kidney Center LLC (Grapevine Regional Dialysis Center)
• Grapevine Kids PLLC (Grapevine Kids Dental and Orthodontics)
• Grapevine Pediatric Clinic, PA
• Grapevine Pharmacy, Inc
• Grapevine Radiology Associates
• Grapevine Rheumatology Clinic,LLC
• Grapevine Smiles PLLC (DFW Smiles)

• Radiology Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.