Organization Active NPI

City Pain Management PLLC

  • Interventional Pain Medicine Physician
  • Shreveport, LA
National Provider Identifier
1669860326
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
L4708 Issued in TX
Legal business name
CITY PAIN MANAGEMENT PLLC
Practice address
1501 Kings Hwy Dept of
Shreveport, LA 71103-4228
Phone
(318) 626-4041
NPI assigned
Jan 5, 2015
Last updated
Mar 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. Rinoo Vasant Shah
Title
Owner
Phone
(214) 308-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X L4708 TX Primary

Addresses

Primary practice location

1501 Kings Hwy Dept of
Shreveport, LA 71103-4228

Mailing address

3628 Amherst Ave
Dallas, TX 75225-7421
Phone (214) 308-1580

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11384/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1669860326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 AMHERST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257421",
            "telephone_number": "214-308-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY DEPT OF",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RINOO",
        "authorized_official_middle_name": "VASANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-308-1580",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "L4708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.