Pioneer Pain Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4273TX Issued in TX

Legal business name

PIONEER PAIN CENTER, LLC

Practice address

2301 W Parker Rd
Ste 3
Plano, TX 75023-7877

Phone

(214) 862-5581

Fax

(972) 596-0066

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kelli Koreen Moore

Title

Owner

Phone

(214) 683-6784

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1629220066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W PARKER RD",
            "address_2": "STE 3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237877",
            "telephone_number": "214-862-5581",
            "fax_number": "972-596-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W PARKER RD",
            "address_2": "STE 3",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237877",
            "telephone_number": "214-862-5581",
            "fax_number": "972-596-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "KOREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-683-6784",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4273TX",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plano, TX
• Providers in Plano, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.