NPIMap

Organization Active NPI

The Pain Center of Arizona

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
National Provider Identifier
1649518101
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
29038 Issued in AZ
Legal business name
THE PAIN CENTER OF ARIZONA
Practice address
3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2614
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Jan 17, 2013
Reactivated
Jul 8, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Cathy Hardesty
Title
Director of Admin Op
Phone
(623) 241-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 29038 AZ Primary

Addresses

Primary practice location

3900 E Camelback Rd
Suite 190
Phoenix, AZ 85018-2614

Mailing address

5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 516-8252

National Provider Directory

National Provider Directory
Tax ID family
The Pain Center of Arizona13 organizations share this tax ID, including this one
Part of
The Pain Center of Arizona

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1649518101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E CAMELBACK RD",
            "address_2": "SUITE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182614",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2013-01-17",
        "last_updated": "2014-08-04",
        "deactivation_date": "2014-04-10",
        "reactivation_date": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN OP",
        "authorized_official_telephone_number": "623-241-6101"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AZ",
            "license": "29038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.