East Interventional Pain & Regenerative Medicine PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC

Practice address

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Phone

(972) 380-0000

Fax

(972) 380-0030

NPI assigned

Jan 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Johnny W East, DO

Title

Owner

Phone

(214) 505-0833

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1619566205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MACARTHUR AVE STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096544",
            "telephone_number": "214-666-8386",
            "fax_number": "214-666-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "972-380-0000",
            "fax_number": "972-380-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST INTERVENTIONAL PAIN & REGENERATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-505-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRF Monitoring, PLLC
• Rachel Drysdale
• Karen Dumas, LPC
• Hannah Duong
• Katie Lee Durnil, COTA
• East IV Therapy
• East Rehabilitation PA
• John W East, DO
• James Ebersole
• Elite Endeavors, Inc.

• Interventional Pain Medicine Physician in Addison, TX
• Providers in Addison, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.