Organization Active NPI

The Pain Center

  • Pain Clinic/Center
  • Boise, ID
National Provider Identifier
1669658779
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
M5883 Issued in ID
Legal business name
THE PAIN CENTER
Practice address
1673 Shoreline Dr
Ste 140
Boise, ID 83702-6750
Phone
(208) 432-9800
Fax
(208) 342-4223
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Sandra A Thompson, M.D.
Title
Owner
Phone
(208) 342-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X M5883 ID Primary

Addresses

Primary practice location

1673 Shoreline Dr
Ste 140
Boise, ID 83702-6750

Mailing address

1673 Shoreline Dr
Ste 140
Boise, ID 83702-6750
Phone (208) 432-9800

National Provider Directory

National Provider Directory

Locations

1673 W Shoreline Dr
Ste 140
Boise, ID 83702
Phone (208) 342-9800

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1669658779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 SHORELINE DR",
            "address_2": "STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026750",
            "telephone_number": "208-432-9800",
            "fax_number": "208-342-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 SHORELINE DR",
            "address_2": "STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026750",
            "telephone_number": "208-432-9800",
            "fax_number": "208-342-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-342-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "ID",
            "license": "M5883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.