Organization Active NPI

Pain & Spine Clinic of New Mexico PC

  • Pain Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1568992600
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
MD2017-0016 Issued in NM
Legal business name
PAIN & SPINE CLINIC OF NEW MEXICO PC
Practice address
4401 E Lohman Ave
Las Cruces, NM 88011
Phone
(956) 687-8120
Fax
(956) 686-7793
NPI assigned
Jun 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Pam Nelson
Title
Billing Supervisor
Phone
(956) 687-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X MD2017-0016 NM Primary

Addresses

Primary practice location

4401 E Lohman Ave
Las Cruces, NM 88011

Mailing address

801 E Nolana Ave Ste 7
McAllen, TX 78504-6113
Phone (956) 687-8120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1568992600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 7",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046113",
            "telephone_number": "956-687-8120",
            "fax_number": "956-686-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "956-687-8120",
            "fax_number": "956-686-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SPINE CLINIC OF NEW MEXICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "956-687-8120"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NM",
            "license": "MD2017-0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.