Organization Active NPI

Vanguard Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
National Provider Identifier
1629506357
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
VANGUARD PAIN MANAGEMENT, PLLC
Practice address
8585 N Stemmons Fwy Ste 105-S
Dallas, TX 75247-3836
Phone
(469) 502-4772
NPI assigned
May 25, 2017
Last updated
Nov 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Authorized official

Name
Benjamin H Kim, MDNPI 1174527964
Title
Sole Member
Phone
(817) 516-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

8585 N Stemmons Fwy Ste 105-S
Dallas, TX 75247-3836

Mailing address

700 Highlander Blvd Ste 415
Arlington, TX 76015-4346
Phone (817) 330-1102

Other practice location 1

4144 N Central Expy Ste 515
Dallas, TX 75204-2152
Phone (945) 360-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170605002493 TX Part B Supplier - Clinic/Group Practice 3678840162 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX; Dallas, TX; Addison, TX

National Provider Directory

National Provider Directory

Locations

4144 N Central Expy
Ste 515
Dallas, TX 75204
Phone (214) 793-9822

8585 N Stemmons Fwy
Ste 105S
Dallas, TX 75247
Phone (469) 502-4772

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762560000000",
    "number": "1629506357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154346",
            "telephone_number": "817-330-1102",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 N STEMMONS FWY STE 105-S",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473836",
            "telephone_number": "469-502-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4144 N Central Expy Ste 515",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752042152",
            "country_code": "US",
            "telephone_number": "945-360-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANGUARD PAIN MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-516-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.