NPIMap

Organization Active NPI

Elite Pain Management, LLC

  • Pain Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1639545940
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ELITE PAIN MANAGEMENT, LLC
Practice address
7150 W Sunset Rd Ste 202
Las Vegas, NV 89113-1981
Phone
(702) 514-1411
Fax
(702) 514-1413
NPI assigned
Aug 20, 2015
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
David M Tonkin, MDNPI 1760438642
Title
Owner
Phone
(417) 848-9188

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

7150 W Sunset Rd Ste 202
Las Vegas, NV 89113-1981

Mailing address

222 E Primrose St Ste E
Springfield, MO 65807-5233
Phone (417) 888-0167

National Provider Directory

National Provider Directory

Locations

1601 K66
Ste C
Galena, KS 66739
Phone (417) 553-1404

1057 Medical Park Dr
Osage Beach, MO 65065
Phone (573) 302-3100

222 E Primrose St
Springfield, MO 65807
Phone (417) 888-0167

8530 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 514-1411

8212 Devon Ct
Myrtle Beach, SC 29572
Phone (843) 273-0379

Practitioners & affiliated clinicians

Practitioners 5

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1639545940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST STE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075233",
            "telephone_number": "417-888-0167",
            "fax_number": "417-888-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W SUNSET RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131981",
            "telephone_number": "702-514-1411",
            "fax_number": "702-514-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "TONKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-848-9188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.