NPIMap

Organization Active NPI

Madison Pain Management

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1568839348
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MADISON PAIN MANAGEMENT
Practice address
2830 Dryden Dr
Suite 101
Madison, WI 53704-3084
Phone
(608) 960-4577
NPI assigned
Aug 27, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Christian Leo Smith
Title
Ceo
Phone
(800) 710-4790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2830 Dryden Dr
Suite 101
Madison, WI 53704-3084

Mailing address

2830 Dryden Dr
Suite 101
Madison, WI 53704-3084
Phone (608) 960-4577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1568839348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 DRYDEN DR",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043084",
            "telephone_number": "608-960-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 DRYDEN DR",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043084",
            "telephone_number": "608-960-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-710-4790"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.