Organization Active NPI

Pain Management Physicians of Dallas PLLC

Doing business as Dallas Pain Consultants

  • Clinical Medical Laboratory
  • Irving, TX
National Provider Identifier
1578184685
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC
Doing business as
Dallas Pain Consultants
Practice address
8404 Sterling St Ste B
Irving, TX 75063-2527
Phone
(214) 948-7700
Fax
(214) 948-7701
NPI assigned
Apr 29, 2020
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Kerry Sheehan
Title
Practice Administrator
Phone
(214) 948-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8404 Sterling St Ste B
Irving, TX 75063-2527

Mailing address

1411 N Beckley Ave Ste 152
Dallas, TX 75203-1586
Phone (214) 948-7700

Other identifiers 2

IdentifierTypeStateIssuer
45D2016038OtherCLIA WAIVED
45D2145472OtherCLIA

Other names 1

  • Dallas Pain Consultants Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2145472Dallas Pain Consultants8404 Sterling St Suite #B, Irving, TX 75063AccreditationOct 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pain Management Physicians of Dallas PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1578184685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031586",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 STERLING ST STE B",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632527",
            "telephone_number": "214-948-7700",
            "fax_number": "214-948-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHYSICIANS OF DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "214-948-7700"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVED",
            "identifier": "45D2016038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2145472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.