Organization Active NPI

Alleviate Pain Center, PLLC

  • Interventional Pain Medicine Physician
  • Dallas, TX
National Provider Identifier
1568021087
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ALLEVIATE PAIN CENTER, PLLC
Practice address
5801 Marvin D Love Fwy Ste 105
Dallas, TX 75237-2388
Phone
(214) 305-7100
NPI assigned
Jun 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Bennett Ezekiel, MD
Title
Member
Phone
(575) 495-2668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

5801 Marvin D Love Fwy Ste 105
Dallas, TX 75237-2388

Mailing address

4105 Sinclair Ave
Austin, TX 78756-3524
Phone (575) 495-2668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1568021087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SINCLAIR AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563524",
            "telephone_number": "575-495-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 MARVIN D LOVE FWY STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372388",
            "telephone_number": "214-305-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEVIATE PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "EZEKIEL",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "575-495-2668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.