Denton Pain Management Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007828 Issued in TX

Legal business name

DENTON PAIN MANAGEMENT CENTER, LLC

Practice address

3201 Colorado Blvd
Denton, TX 76210

Phone

(954) 835-0005

Fax

(954) 472-8271

NPI assigned

Aug 26, 2008

Last updated

Jun 23, 2009By 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. Vincent Montelione

Title

President

Phone

(954) 608-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plastic Surgery Center of North Texas, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Allen Coffey Jr., M.D.

  • Plastic Surgery Physician
  • Denton, TX
  • NPI 1528118460
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1598912115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "954-835-0005",
            "fax_number": "954-472-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "954-835-0005",
            "fax_number": "954-472-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON PAIN MANAGEMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MONTELIONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-608-3737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "HH1581",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Center of North Texas, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Denton Obstetrics and Gynecology PA
• Denton Oncology Center, P.a.
• Denton Optical Company
• Denton Optometry, Inc.
• Denton Oral and Maxillofacial Surgery Associates
• Denton Pediatric Physicians PLLC
• Denton Podiatry PLLC
• Denton Professional Medical Group,PLLC
• Denton Psychological Services, PLLC
• Denton Pulmonary Clinic, PA

• Ambulatory Surgical Clinic/Center in Denton, TX
• Providers in Denton, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.