Active NPI
The Pain Center
- Pain Clinic/Center
- Boise, ID
National Provider Identifier
1669658779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- M5883
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.