NPIMap

Organization Active NPI

Pni Rehab Centers LLC

Doing business as Pain Relief Center

  • Chiropractor
  • Lewisville, TX
National Provider Identifier
1639366834
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9349 Issued in TX
Legal business name
PNI REHAB CENTERS LLC
Doing business as
Pain Relief Center
Practice address
363 W Main St
Lewisville, TX 75057-3867
Phone
(972) 436-4434
Fax
(972) 436-3182
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Robert Dasilva, D.C.NPI 1558396820
Title
Chiropractor
Phone
(972) 436-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9349 TX Primary
Chiropractor 111N00000X 7121 TX

Addresses

Primary practice location

363 W Main St
Lewisville, TX 75057-3867

Mailing address

363 W Main St
Lewisville, TX 75057-3867
Phone (972) 436-4434

Other names 1

  • PAIN RELIEF CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pain Injury Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1639366834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434",
            "fax_number": "972-436-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573867",
            "telephone_number": "972-436-4434",
            "fax_number": "972-436-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNI REHAB CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "972-436-4434",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9349",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN RELIEF CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.